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I.K.G.

PUNJAB TECHNICAL UNIVERSITY, JALNDHAR


JALANDHAR-KAPURTHALA HIGHWAY,
KAPURTHALA-144003
Phone: 01822-662558
E-mail: coordinatorip.ptu@gmail.com Website: www.ptu.ac.in

DEPARTMENT OF RESEARCH INNOVATION & CONSULTANCY

INDUSTRY DEFINED PROJECT (IDP) STATEMENT FORM


ENCLOSURES

Please check for:

1. Endorsement by the Principal/Director of the college


2. Endorsement by the industry
3. Duly filled Performa
4. Resume of Principal Investigator (PI)

Signature of Principal Investigator:

Date:
DEPARTMENT OF RESEARCH INNOVATION & CONSULTANCY
I.KG. PUNJAB TECHNICAL UNIVERSITY, JALANDHAR
Jalandhar-Kapurthala Highway,
Kapurthala-144603

INDUSTRY DEFINED PROJECT (IDP) FORM

For office use only

Registration No. : Date:

Session:

STUDENTS’ PARTICULARS

I
FIRST NAME
LAST NAME
MOBILE NO. 1. 2.
EMAIL
COLLEGE NAME

ADDRESS

BRANCH
SEMESTER YEAR
ROLL NO.
SIGNATURE OF
STUDENT

II
FIRST NAME
LAST NAME
MOBILE NO. 1. 2.
EMAIL
COLLEGE NAME

ADDRESS

BRANCH
SEMESTER YEAR
ROLL NO.
SIGNATURE OF
STUDENT
III
FIRST NAME
LAST NAME
MOBILE NO. 1. 2.
EMAIL
COLLEGE NAME

ADDRESS

BRANCH
SEMESTER YEAR
ROLL NO.
SIGNATURE OF
STUDENT

IV
FIRST NAME
LAST NAME
MOBILE NO. 1. 2.
EMAIL
COLLEGE NAME

ADDRESS

BRANCH
SEMESTER YEAR
ROLL NO.
SIGNATURE OF
STUDENT

V
FIRST NAME
LAST NAME
MOBILE NO. 1. 2.
EMAIL
COLLEGE NAME

ADDRESS

BRANCH
SEMESTER YEAR
ROLL NO.
SIGNATURE OF
STUDENT
BIO-DATA OF PRINCIPAL INVESTIGATOR/CO-INVESTIGATOR/
CONSULTANT

1. NAME:

2. DATE OF BIRTH:

3. DESIGNATION:

4. NAME OF THE INSTITUTE:

5. DATE OF JOINING:

6. TOTAL EXPERIENCE:

7. YEAR OF Ph.D AWARDED:

8. YEAR OF POSTGRADUATION PASSED:


(M.TECH/M.Sc/MCA/M.ARCH/MBA/MPHARMA)

9. YEAR OF GRADUATION PASSED


( B.Tech/B.Sc/B.Pharma/BCA/B.Arch)

10. PERMANENT ADDRESS:

11. ADDRESS FOR CORRESEPONDENCE:

12. E-MAIL ID:

13. PHONE NO. (OFFICE):

14. MOBILE NO.:

15. HIGHEST DEGREE:

16. MAJOR FIELD:

17. SPECIALIZATION:

18. TEACHING EXPERIENCE:

19. RESEARCH EXPERIENCE:

20. CONSULTANCY WORK, IF ANY:

21. PROJECTS SPONSORED:

Sr.No. Name of the Project Funding Amount Outcomes


Agency

22. DISSERTATION COMPLETED:

Sr.No. Name of the Dissertation B.Tech/ M.Tech/PhD/ Any other

23. NO. OF STUDENTS REGISTERED:


(i) AS A SUPERVISOR:
(ii) AS A CO-SUPERVISOR:
(iii) NUMBER OF VACANT POSITION AVILABLE FOR Ph.D.:

24. PATENTS:

25. PAPERS IN JOURNALS (Published in Peer Reviewed Journal)

26. CONFERENCE ATTENDED:


27. PAPERS IN CONFERENCE:

Signature of the Principal Investigator


(Co-Investigator)
INDUSTRY PARTICULARS FOR IDP/ CONSULTANT

INDUSTRY
NAME OF THE INDUSTRY
COORDINATOR
CONTACT ADDRESS
MOBILE NO.
EMAIL
NAME OF THE INDUSTRY
TYPE OF INDUSTRY
REGD No.

ADDRESS OF THE
INDUSTRY
NAME OF INDUSTRIAL OFFICE MOBILE
ESTATE
CONTACT NO.
COMPANY LOGO
WEBSITE
E-MAIL (FOR
CORRESEPONDENCE)
INDUSTRY DEFINED PROJECT STATEMENT FORM
TITLE OF PROJECT

1. Project Title:

…………………………………………………………………………………………
……………………………

2. Discipline:
3. Name of the Guide:
4. Institution:
5. Project Summary (maximum 150 words)
(i) Key Words (maximum 6)
6. Technical details
(i) Introduction (under following heads)
(ii) Origin of proposal
(iii) Definition of the problem
(iv) Objective
7. Literature Review
8. Patent details (if any)
9. Importance of the proposed project in the context of the current status
10. Work Plan
(i) Methodology
(ii) Organization of wok elements
(iii) Suggested Plan of action for utilization of research outcome expected
from the project
11. Budget
ITEM AMOUNT (Rs)
Non-Recurring
Recurring
Travel
Contingency
Total

(Signature of the Student)

1.

2.

3.

4.

5.

Signature of the Principal Investigator ------------------------

Signature of the Head of the Institute ------------------------


(With Office Seal)
ENDORSEMENT BY INDUSTRY COORDINATOR

The proposal titled------------------------------------------------------------------------------------------------------------- is an

Industry Defined Project of------------------------------------------------------------ (Name of Industry).

Address ----------------------------------------------------------

---------------------------------------------------------

---------------------------------------------------------

--------------------------------------------------------

The project work would be done under my supervision.

Signature of the Coordinator of Industry --------------------------

Date:
ENDORSEMENT BY PRINCIPAL OF THE INSTITUTE

This is to certify that Dr/Mr/Mrs …………………………………, the Principal Investigator

in the project entitled……………………………………………………………………… will

assume full responsibility for implementing the project. The institute will provide basic

infrastructure and other required facilities to the investigator for undertaking the research

project.

Signature of the Principal of the college ----------------------

(With Office Seal)

Date:
PROJECT COMPLETION REPORT (PCR) FORMAT

Details of Research Projects being implemented/ completed/ submitted by the


Investigator(s)/Co-Investigators
Name & Institute:

Project Title:

Project Status:

Completed-duration: Period from........... to..........

Amount Released:

Date of start:

Total cost incurred:

Summary of the project:

Major Results/ Highlights of the project including achievement (publications, patents etc.),
for completed projects

(Signature of the Student)

1.

2.

3.

4.

5.

Signature of the Principal Investigator ------------------------

Signature of the Head of the Institute ------------------------


(With Office Seal)

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