CREATIVE IDEAS & INNOVATIONS IN ACTION

CiiA FORM 2

For participation by Student Innovators (Sudents in Engineering, Polytechnic, ITI, Biotech, Pharmacy & Chemical Technology etc.) in CiiA-4 to showcase their ideas in action

CiiA-4 Innovations Exhibition, Competition & Awards.

Title

Lead Innovator’s Name

Gender

Age

I-Card No. / Roll No.

WhatsApp / Mobile

Academics

Preparing for Next Exam

Subjects

Studying in Class

Local Res Address

City

State

Institution Name

Institution Address

Principal’s Name

Affiliated to University

Project Name

Project Description (in brief)

Project Co-Collaborators

Mentor’s Name:

Status of your Project’s Working Model / Prototype:-

Remarks on the demo of your Project’s Working Model / Prototype?

Your Hobbies and Subjects of Interest

Title

Referred by:

Contact Number

I shall ensure that Form 3 of Institution Registration & Form 4 of Mentors.Registration with CiiA shall be done asap.

I confirm that all the information provided above is true and correct.

For any query regarding FORMS feel free to contact us.

Note:
Last date for online Idea registration: 5th November 2024.
Last date for online submission of the working model video: 5th December 2024.
Late Fees for delayed filling @ Rs. 100 per day maximum 7 days until 12th November 2024