APPLICATION FORM FOR ANPCPMC_BEST ALL-ROUND CIVIL ENGINEERING STUDENT AWARD
GRADUATE/
NAME OF THE YEAR OF
POST
STUDENT: PASSING:
GRADUATE:
COLLEGE:
DOCUMENTS TO
BE SUBMITTED
SL ELGIBILITY WITH THE
ATTRIBUTES INDICATE REMARKS
NO CRITERIA APPLICATION
ATTESTED BY
HOD/PRINCIPAL
A B C D E F
INDICATE
FINAL YEAR PERCENTAGE
1 ACADEMIC PERFORMANCE
PERFORMANCE MARKS
OBTAINED
PASS TO
1.1 ABOVE AVERAGE
SECOND CLASS
1.2 GOOD FIRST CLASS
MARK SHEETS
1.3 VERY GOOD 1 TO 10 RANKS
1.4 EXCELLENT MEDALIST
SPECIFY
ACTIVITY
CO-CURRICULAR
2 (LECTURE, YES/NO
TECHNICAL
TECHNICAL
PAPER ETC.,)
2.1 COLLEGE TECHNICAL
PAPERS
2.2 UNIVERSITY PRESENTED,
LECTURES PROOF OF
DELIVERED IN PARTICIPATION
2.3 STATE TECHNICAL
SEMINARS/
2.4 COUNTRY CONFERENCES
LEADERSHIP ROLES -
SPECIFY
3 REPRESENTATION LEVEL YES/NO
ACTIVITY
(non political)
3.1 COLLEGE
(COLLEGE UNION
MEMBER,
3.2 UNIVERSITY STUDENT REP,
PROOF OF
NCC PARADE
PARTICIPATION
3.3 STATE ETC.,
RECOGNISED BY
COLLEGE)
3.4 COUNTRY
Page: 1 of 3
DOCUMENTS TO
BE SUBMITTED
SL ELGIBILITY WITH THE
ATTRIBUTES INDICATE REMARKS
NO CRITERIA APPLICATION
ATTESTED BY
HOD/PRINCIPAL
SPORTS AND GAMES SPECIFY
4 YES/NO
REPRESENTATION: SPORT/GAME
4.1 COLLEGE
ALL SPORTS,
4.2 UNIVERSITY GAMES THAT
PROOF OF
ARE
PARTICIPATION
4.3 STATE RECOGNISED BY
THE UNIVERSITY
4.4 COUNTRY
DEBATE-
SPECIFY
5 REPRESENTATION AT YES/NO
ACTIVITY
LEVEL
5.1 COLLEGE
5.2 UNIVERSITY
TECHNICAL OR PROOF OF
NON-TECHNICAL PARTICIPATION
5.3 STATE
5.4 COUNTRY
FINE ARTS -
SPECIFY
6 REPRESENTATION OR YES/NO
ACTIVITY
RECOGNITION
6.1 COLLEGE
MUSIC,
6.2 UNIVERSITY PAINTING,
THEATER,
DANCE,
6.3 STATE PHOTOGRAPHY,
CINEMA, TV ETC., PROOF OF
PARTICIPATION
6.4 COUNTRY
MUST BE A
RECOGNISED
OTHER PLATFORMS SUCH
6.5 SPECIFY PLATFORM BY
AS CINEMA,TV
CONCERNED
AUTHORITIES.
SPECIFY
7 SOCIAL WORK YES/NO
ACTIVITY
7.1 VOLUNTEER IN NGO A 50 WORDS
WRITE-UP ON PROOF OF
OWN INITIATIVE WORK PARTICIPATION
7.2 UNDERTAKEN.
VOLUNTEER
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DOCUMENTS TO
BE SUBMITTED
SL ELGIBILITY WITH THE
ATTRIBUTES INDICATE REMARKS
NO CRITERIA APPLICATION
ATTESTED BY
HOD/PRINCIPAL
8 CO-CURRICULAR SPECIFY YES/NO
SPECIFY NAME
STUDENT MEMBER OF OF PROOF OF
8.1
PROFESSIONAL BODY PROFESSIONAL MEMBERSHIP
BODY
INSTRUCTIONS TO APPLICANTS:
1.PLEASE READ THE APPLICATION CAREFULLY.
2.ATTRIBUTES LISTED IN COLUMN 'B' MUST BE COMPLETED BY FILLING UP COLUMNS 'C' AND 'D'.
3.PLEASE ENSURE SCANNED ATTESTED COPIES OF ALL RELEVANT DOCUMENTS ARE ATTACHED.
4. SOFT COPIES OF APPLICATION FORM SHALL BE FORWARDED TO…....
5. SOFT COPIES ALL APPLICATIONS ALONG WITH ATTACHMENTS SHALL REACH BEFORE 1600 HRS
ON ___________________
6. INCOMPLETE APPLICATION WILL BE REJECTED.
7. DECISION OF THE JUDGES IS FINAL.
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