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INDIAN INSTITUTE OF TECHNOLOGY DELHI
BOARD FOR STUDENT WELFARE (BSW)
STUDENT APPLICATION FOR BSW SUMMER JOBS 2015
1 Name of Student : _______________________________________________________
2. Entry Number : _________________________________________________________
3. Department : __________________________________________________________
4. CGPA : ________________________________________________________________
5. Hostel Address : ________________________________________________________
6. E-mail address : ________________________________________________________
7. Name of Supervisor : ____________________________________________________
I ________________________________ Entry No. ____________________ certify that I am not drawing
any scholarship / assistantship* from the institute.
Signature of the Supervisor
Signature of the Student
Signature of the Head of Department
Date _______________
Please return the form duly signed by the supervisor and HOD (of the supervisor) to Student Counseling
Service/ BSW office . Room no. AD-238.
Note: Student is allowed to work on all weekdays during the summer job.
*Students getting MCM scholarships are eligible for BSW jobs.