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The SERB - VRITIKA Program is organizing a Training and Skill Internship focused on identifying Type 2 Diabetes biomarkers using machine learning and deep learning from August 2 to August 31, 2024, at the National Institute of Technology Agartala. The document includes an application form, endorsement from the head of the department, and an undertaking from the student applicant, detailing requirements and responsibilities for participation. Interested candidates must provide personal information, academic details, and a declaration of their intent to participate in the program.

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saurabh.banerjee
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4 views

Application_format

The SERB - VRITIKA Program is organizing a Training and Skill Internship focused on identifying Type 2 Diabetes biomarkers using machine learning and deep learning from August 2 to August 31, 2024, at the National Institute of Technology Agartala. The document includes an application form, endorsement from the head of the department, and an undertaking from the student applicant, detailing requirements and responsibilities for participation. Interested candidates must provide personal information, academic details, and a declaration of their intent to participate in the program.

Uploaded by

saurabh.banerjee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SERB - VRITIKA Program - Accelerate Vigyan Scheme

Training and Skill Internship


on
Identification of Type 2 Diabetes Biomarkers from Single cell sequencing Data with Machine
learning/Deep Learning
2nd August 2024 to 31st August 2024
Organized by the
Department of Computer Science & Engineering
National Institute of Technology Agartala, Tripura

Annexure-I
Application Form

Attach your
passport-size
photograph here

1. Full Name of the Applicant


(As mentioned on your certificates)
2. Father’s/ Mother’s/ Guardian’s name
3. Date of birth (DD/MM/YY)
4. Gender Male/Female
5. Nationality
6. ID Card Number
7. Correspondence Address

8. Permanent Address

9. Contact Number
10. Email Address
11. P.G. Degree Pursuing M.Sc./ M.Tech./M.E./Others
12. Specialization Subject in P.G. (if any)
13. Name of the
Institution/University/College
14. Institution/University/College Address

15. Name of the Department/School

16. Percentage/CGPA in P.G.: Semester 1:


(Attach self-attested photocopy of all available Semester 2:
mark sheets) Semester 3:
17. U.G. B.Sc. / B.Tech. / B.E. / Others
18. Subjects in U.G. and Specialization (if
any)
19. Name of the
Institution/University/College
20. Name of the Department/School
21. Percentage/CGPA obtained in U.G.
(Attach self-attested photocopy of mark sheets
and certificates)
22. Percentage/CGPA of marks in 12th
(Attach self-attested photocopy of mark sheets
and certificates)
23 Percentage/CGPA of marks in 10th
24. Name and phone number of the
emergency contact person
25. Within 2000 characters write:
(i) Why are you interested in this
Training and Skill Internship?
(ii) How will it be beneficial to you?

Declaration: I agree that all the information mentioned is correct and I shall be liable
for the same.

Place:
Date: Signature of Applicant
Annexure-II
Endorsement cum No Objection Certificate from the Head of the Department
(To be submitted on University/Institute/College Letterhead)

This is to certify that:

1. Mr. / Ms. / Mrs. ______________________________________, is a bonafide student of our


University / Institute / College and will assume full responsibility for actively
participating in the Training and Skill Internship on “Identification of Type 2
Diabetes Biomarkers from Single cell sequencing Data with Machine learning/Deep
Learning” sponsored by SERB under the Accelerate Vigyan Scheme, scheduled
from 2nd August to 31st August 2024.
2. The Applicant is a Full-time / part-time student of our University/ Institute/
College and enrolled in BE/B.Tech./M.Sc./M.Tech/M.E/Ph.D. Programme in
………………………………………………………... Department.
3. The candidate has secured ___________ % / CGPA / CPI till date (if applicable).
4. The University/ Institute/ College also endorses the conduct of the applicant to
be of the highest order and bears a good moral character.
5. The University/ Institute/ College has “No-Objection” for the candidate’s
participation during the above period.
6. If selected for participation, the candidate shall be duly permitted to attend the
Training and Skill Internship in physical mode. The University/ Institute/ College
may provide the necessary facilitation for this purpose.

Date:
Place: Signature and Seal with name
(Head of the Department)
SERB - VRITIKA Program - Accelerate Vigyan Scheme
Training and Skill Internship on
(2nd August 2024 to 31st August 2024)

Identification of Type 2 Diabetes Biomarkers from Single cell sequencing Data with Machine
learning/Deep Learning
Organized by
Department of Computer Science & Engineering
National Institute of Technology Agartala, Tripura

Annexure-III
(Undertaking from the Student Applicant)

1. I hereby provide my consent to participate in the Training and Skill Internship titled
“Identification of Type 2 Diabetes Biomarkers from Single cell sequencing Data with
Machine learning/Deep Learning” organized by the Department of Computer Science &
Engineering, National Institute of Technology Agartala, Tripura.
2. Vouch for participating in this Training and Skill Internship wholeheartedly and
sincerely attend all the hands-on sessions and presentations with utmost dedication.
3. I shall also be responsible and attentive to involve myself during the
discussion/interaction session.
4. I am aware that it is mandatory to attend all the hands-on sessions and seminars/talks
compulsorily qualify for the course assessment and submit a report in order to avail the
certification successfully.
5. I understand the materials supplied during this Training and Skill Internship are only
for educational/academic purposes.
6. Uploading/hosting/sharing any content on any platform shall be unlawful on the
grounds of Intellectual Property Rights.
7. Any Proxy participation in the Training and Skill Internship shall invite immediate
cancellation of his/her candidature, which shall be reported to the parent institution.
8. I understand that to ensure my physical presence and any support in this regard is to be
sought from the applicant’s parent Institution. The organizing institute shall not be
liable for the same.
9. I shall strictly follow the COVID guidelines issued by the Government of India and the
State of Tripura.
10. I agree to abide by any other terms and conditions of the organizing Institute and SERB.

Name of the Applicant: ……………………………


Date of Birth: …………………………….
Programme (BE/B.Tech./ME/M Tech/Ph.D): …………………
Institution/College/University: …………….
Date:
Place:
Signature of the applicant

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