VIPNET Science Club Report Submission Form

Format of Report by a Club

(Affiliated to Vigyan Prasar Network of Science Clubs)

Club Id :

Club Name :

Name of the Coordinator :

Email of the Coordinator :

Report Type :-

Monthly Quarterly Half Yearly Annual

Period of Report :

To :

1:- Activities Performed

1. Date of Program :

2. Title/Theme of the Program :

3. Program for the benefit of :

4. Total No. of Participants :

5. Venue of the Program :

6. Summary about the program (500 words) :

Photos (maximum 2 of any of the program with caption) :-

2:- Activities Performed

1. Date of Program :

2. Title/Theme of the Program :

3. Program for the benefit of :

4. Total No. of Participants :

5. Venue of the Program :

6. Summary about the program (500 words) :

Photos (maximum 2 of any of the program with caption) :-

3:- Activities Performed

1. Date of Program :

2. Title/Theme of the Program :

3. Program for the benefit of :

4. Total No. of Participants :

5. Venue of the Program :

6. Summary about the program (500 words) :

Photos (maximum 2 of any of the program with caption) :-

4:- Activities Performed

1. Date of Program :

2. Title/Theme of the Program :

3. Program for the benefit of :

4. Total No. of Participants :

5. Venue of the Program :

6. Summary about the program (500 words) :

Photos (maximum 2 of any of the program with caption) :-

5:- Activities Performed

1. Date of Program :

2. Title/Theme of the Program :

3. Program for the benefit of :

4. Total No. of Participants :

5. Venue of the Program :

6. Summary about the program (500 words) :

Photos (maximum 2 of any of the program with caption) :-

Captcha :

13 + 10