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INTERNATIONAL COLLABORATION DIVISION
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Application Form for Financial Assistance for Participation
in Conference(s)/ Seminar(s) Abroad
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asa
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Before applying, kindly
ensure that the conference is on the approved list of ICSSR(See
Annexure III).
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1.
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Conference /Seminar Particulars
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Name of the Conference/ Seminar:
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Conference Theme/Seminar:
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2.
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Session in which
you are to present your paper:
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Name
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Designation
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Date of
Birth
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Sexaaaa
aaa Maleaaaa
aaa Female
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3.
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Do
you belong to Scheduled Caste or Scheduled Tribe (Kindly Specify)?
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4.
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Basic
Discipline (Kindly Tick)
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5.
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Office Address :
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Telephone:
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Fax:
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E-mail:
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6.
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Residential Address :
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Telephone:
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E-mail:
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7.
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Nature of Assistance
Required
(Kindly Tick) :
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Airfare
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Maintenance
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Airport Tax
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Visa Fee
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Registration Fee
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8.
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Are you receiving or do
you hope to receive any financial assistance from the organizers of
the Conference (Kindly specify the quantum of assistance received)?
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9.
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Which other organization(s)
have you applied for the assistance (Kindly Tick)?
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10.
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What has
been their response?
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11.
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For which Conference has
ICSSR given you assistance in the past three years (Kindly specify the
conference, year and the nature of assistance received)?
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a.Conference
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c.Nature of
Assistance Received
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12.
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How many times did you approach
ICSSR in the past three years for participation in Conferences abroad
and why was your application not accepted/considered?
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(a)Approaching for the first time.
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(b)Large
number of applications made.
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(c)Not
processed because of time constraint/
financial constrain .
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(d)Rejected
as it was not recommended by the experts
Yes
No
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(e)Approved,
but could not avail.
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Are you attending the conference abroad
for the first time, and if not, which international conferences
have you attended in the last five years?
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Have you ever received or are currently receiving any
financial assistance from the ICSSR ?
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If 'Yes', please indicate if you have submitted the Report to
the Council (Mention the title of the report also).
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Give the names and addresses of three experts in your area of
work:
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1. |
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2. |
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3.
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Why do you think it is important for you to attend the
conference and what benefit do you hope to derive from it?
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Date:
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Signature of the Applicant |
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Place:
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13.
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14.
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15.
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16.
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17.
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