IITRHF Pledge a Dream Program Application
Maximum support: US $500/ year/ applicant
Email address *
Date of application *
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IIT Roorkee enrollment number *
First name *
Last name *
Phone (eg: +91xxxyyyzzzz) *
Current enrollment program (eg: B. Tech) *
Current field of study (eg: Biotech Eng) *
Current year of degree program (eg: 4th year)
IIT Roorkee faculty reference (Name, Department, Email, Phone) *
Activity description for which funds are requested (eg: Research Internship for 12 weeks) *
Activity start date *
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Activity end date *
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YYYY
Location of Activity (eg: University, Department or Conference) *
Activity guide/ contact (eg: Prof ABC in Dept of Biotech, Univ of XYZ, city, country, phone, and email) *
Link of supporting documents (e.g.internship offer/ conference acceptance/ other) - share with admin@iitrhf.org *
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