Application for the M.Sc. Dissertation work at the
ICAR-Central Institute of Freshwater Aquaculture (ICAR-CIFA)
| 1 | Full Name of the applicant (In Block letters) | |
| 2 | Fathers Name | |
| 3 | Mothers Name | |
| 4 | Date of Birth (DD/MM/YY) | |
| 5 | Aadhar Number | |
| 6 | Gender | |
| 7 | Address for communication with pin code | |
| 8 | Mobile number (+91) | |
| WhatsApp number | ||
| 9 | Working Email ID | |
| 10 | Name and full address of the Institute/University/College where the student is studying (mention student registration No.) | |
| 11 | Tentative date of start research/project work and tentative date of completion (durations) | |
| 12 | Enclose a consent letter duly forwarded by the respective Head of the Dept. or Dean mentioning your (his/her) admission or registration number with name. |
- Details of Education Qualification from 10th onwards (Attach self-attested copies of certificates)
| Name of the Examination/ Degree program |
Board/University | Year of passing | Max. marks | Marks obtained | Percentage/ OGPA/CGPA |
** The complete application, along with all the required certificates/documents, must be submitted either as a soft copy via email to dccifa@gmail.com or studentcellcifa@gmail.com, or as hard copies addressed to the Director Cell, ICAR-CIFA, Bhubaneswar.
Declaration
I …………………………………….………………. hereby declare that the statement made in the application are true/correct to the best of my knowledge and belief. In the event of any information being found false or incorrect, my candidature may be cancelled without any notice. I also declare herewith that in the event of my selection as M.Sc. dissertation/thesis/research work student at ICAR-CIFA, I am willing to pay Rs. 30,000- (Rupee thirty thousand) to the ICAR-CIFA as bench/Institute fee if my Institute /University is outside of the NARS Institute/University. If I fail to pay the requisite fee before the deadline (to be intimated by the competent authority of the ICAR-CIFA), my candidature will be cancelled without any further notice (Students belong to NARS Institution; they may strike out this).
Further, I will abide by all decision of the ICAR-CIFA, and after the completion of my research/thesis/dissertation work. I will submit a copy of the same to the chairman, student cell/ issue committee, ICAR-CIFA for its display into the ICAR-CIFA library.
Date :
Place : Signature