IEC No.#

Project Type *	Specify  as per Research Project  Processing Fee  Type
Abbreviated  Project Title (maximum  25 characters)
Project Title ( Full )
Principal Investigator  Name
Co – Investigator Name / Names
Sponsor Name  *
Checked and Complete #	Sign by SRS Office Staff checking the document	Date
Project  Submission  Reviewer #	Secretary IEC HR to assign Reviewers for Project	Sign Date of Secretary IEC HR
Project Reviewers Acknowledgement #	Signature of Reviewers	Date of Receipt
Clearance Letter  #	MOM reference    Dispatch No.	Receivers Signature
Project Closure Date #

Note
a.    All Headings marked  “ # ” are for Office use

b.    Project Type  to be assigned as - Sponsored/ ICMR / SRS Sponsored / Thesis *

c.    Sponsor Name ( if applicable ) * else not to be typed

* Please select and type the appropriate choice