Shantilal Shah Engineering College, Bhavnagar

Submission of Proposal for Project/Model

SSIP Head: Proof of Concept (PoC) and Prototype development Support (Procurement of Consumables/raw
material/ Minor works/Others)

IDENTIFICATION

1. PROJECT TITLE:
2. BROAD AREA:

3. APPROXIMATE PROJECT/MODEL COST:

4. NAME OF APPLICANT(S) (List out all the students working on this

project): (i)

(ii)

5. NAME OF MENTOR:

6. Name of the applicant in whose name payment is to be made (Team

Leader):

7. Name of Department:

TECHNICAL DETAILS

1. BACKGROUND

1.1 Description of Problem:

1.2 Review of Work AlreadyDone:

1.3 Rationale For Taking Up TheProject:

1.4 Benefit to the society:

2. SWOT Analysis of the Project
2.1 Strength

2.2 Weakness

2.3 Opportunity

2.4 Threat

3. Methodology Detailing Stepwise Activities and Sub-Activities:

4. Output of The Project:

5. BUDGET ESTIMATES SUMMARY

Sr. Equipments Required Approximate Justification

No. expenditure**
Description Quantity Rate per
required quantity

Total Expenditure (Rs)

Sr. Consumable Items Required Approximate Justification

No. expenditure**
Description Quantity Rate per
required quantity

Total Expenditure (Rs)

 Sr. Professional Services Required Approximate Justification
No. expenditure**
Description

Total Expenditure (Rs)

Grand Total for whole Project: -

Sr. Approximate
No. expenditure**
Approximate expenditure on Equipments

Approximate expenditure on Consumable

Items
Approximate expenditure on Professional
Services Required
Total Expenditure (Rs)
** Reimbursement is subject to production of original bills issued by
firm/agency/shop possessing CST/VAT/TIN/GST and other as
applicable. Financial aid under SSIP is only at a reasonable level to
enable students to carry out theproject.

CERTIFICATE FROM THESTUDENT(S)

PROJECT TITLE:

1. I/We agree to abide by terms and conditions of the SSIP guidelines.

2. I/We did not submit this or a similar project proposal elsewhere for
financial support.

3. I/We agree to submit the project on completion of event.

Date: (Name and Signature ofStudent(s))

 Submitted to Mentor
Certificate:
This to certifythat
1. Activity proposed is justifiable.
2. Approximate expenditure along with break up is required for conduction of
activity, justifiable, found reasonable and rational as well in quantity.
3. Equipments/consumable items/ raw material/ Minor works/ Professional
services and other mentioned items are mandatorily required for effective
and successful implementation of this project/model.
4. Process of expenditure will be carried out as per SSIP financial guidelines.
5. Approximate expenditure to conduct this activity is R s . .

(Name and Signature of Mentor)

Submitted to DSC:

This is to certify that:-

1. Necessary permissions can be granted for the above programme according
to the prevailing applicable norms of SSIP.
2. Expenditure of the same can be made under SSIP head _______________.
3. Process of expenditure will be carried out as per SSIP financial guidelines.
4. Approximate expenditure along with break up is required for conduction of
activity, justifiable, found reasonable and rational as well in quantity.
5. Equipments/consumable items/ raw material/ Minor works/
Professional services and other mentioned items are mandatorily required
for effective and successful implementation of this project/model.
6. Approximate expenditure to conduct this activityis R s . .
7. It is recommended to give permission for this activity.

Sr. No Name of DSC Member Signature of DSC Member

1
2
3

Head of the Department

 Submitted to Activity committee:

This is to certify that:-

1. Necessary permissions can be granted for the above programme according
to the prevailing applicable norms of SSIP.
2. Expenditure of the same can be made under SSIP head _______________.
3. Process of expenditure will be carried out as per SSIP financial guidelines.
4. Approximate expenditure along with break up is required for conduction of
activity, justifiable, found reasonable and rational as well in quantity.
5. Equipments/consumable items/ raw material/ Minor works/
Professional services and other mentioned items are mandatorily required
for effective and successful implementation of this project/model.
6. Approximate expenditure to conduct this activity is R s . .
7. It is recommended to give permission for this activity.

Sr. No Name of Activity Committee Signature of Activity Committee

Member Member
1
2
3

Submitted to IPR Committee: - (If required)

This is to certify that: -
1. This project is scrutinized using for patent search
and analysis on________________ .
2. This project seems to be patentable/ Not patentable as per attached
certificate.
3. Approximate expenditure to file the patent is Rs. (1 patent,
1 design and 1 trademark registration cost) and is permissible as
per SSIP guidelines.
4. Grand total expenditure(total expenditure (Rs)-------------+ petent
application cost (Rs)-------------------)=-----------------------Rs.

Sr. No Name of IPR Cell Member Signature of Member

1
2
3
 4
5
6

IPR SCRUTINY COMMITTEE (if required)

Sr. No Name of IPR committee Signature of Member

1 Member
2
3
4
5
6

Submitted to ISC (If required):-

This is to certify that:-

1. Necessary permissions can be granted for the above programme according
to the prevailing applicable norms of SSIP.
2. Expenditure of the same can be made under SSIP head _______________.
3. Process of expenditure will be carried out as per SSIP financial guidelines.
4. Approximate expenditure along with break up is required for conduction of
activity, justifiable, found reasonable and rational as well in quantity.
5. Equipments/consumable items/ raw material/ Minor works/
Professional services and other mentioned items are mandatorily required
for effective and successful implementation of this project/model.
6. Approximate expenditure to conduct this activity is R s . .
7. It is recommended to give permission for this activity.

Sr. No Name of ISC Member Signature of ISC Member

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Submitted to Nodal officer finance:

1. Expenditure of the same can be made under SSIP head _______________.

2. Process of expenditure will be carried out as per SSIP financial guidelines.
3. Approximate expenditure to conduct this activityis R s . .
4. Current SSIP fund available with institute is Rs. ___________ and after
above approximate expenditure, the remaining balance will be Rs.
___________.

Finance Nodal Officer

SSIP Coordinator Recommended/Not recommended

Principal Permitted/Not permitted