PROFORMA
FOR SEEKING FINANCIAL ASSISTANCE FOR
ORGANISING
CONFERENCE/WORKSHOP/SEMINAR
1. NAME AND ADDRESS OF THE ORGANISERS/INSTITUTION*
______________________________________________________________
______________________________________________________________
2. YEAR
OF ESTABLISHMENT _______________
3. THEME
OF THE CONFERENCE/SEMINAR/WORKSHOP ____________________
______________________________________________________________
______________________________________________________________
4. SUB-THEME(s)
__________________________________________________
______________________________________________________________
5. PROPOSED
DATES _______________________________________________
6. VENUE
________________________________________________________
7. NO.
OF PARTICIPANTS: 1 LOCAL 2 OUTSTATION TOTAL
8. DETAILED BUDGET INDCATING
AMOUNT TO BE INCURRED ON TA/DA, HOSPITALITY, TRANSPORT, STATIONERY, SECRETARIAL
ASSISTANCE, TYPING AND CYCLOSTYLING WORK AND OTHER CONTINGENT EXPENDITURE ETC.
(REQUESTS FOR PUBLICATION OF THE PROCEEDINGS ARE ENTERTAINED SEPARATELY).
I T E M S A M O U N
T
________________________________________ Rs. _____________
________________________________________ Rs. _____________
________________________________________ Rs. _____________
________________________________________ Rs. _____________
________________________________________ Rs. _____________
_________________________________________ Rs. _____________
9. JUSTIFICATION
FOR ORGANISING THE PROPOSED PROGRAMME __________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
10. AMOUNT
EXPECTED FROM THE ICSSR Rs. __________
11. OTHER
SOURCES OF FUNDING AMOUNT
EXPECTED/CONFIRMED
_____________________________________________ Rs. _____________
_____________________________________________ Rs. _____________
12. KINDLY
ENCLOSE THE FOLLOWING:
(I) A CONCEPT NOTE
(II) NAME OF KEY PAPERS WRITERS AND OTHER CONTRIBUTORS WITH THEIR
THEMES AS WELL AS WHETHER THEY HAVE CONFIRMED OR NOT.
(III) LIST OF PARTICIPANTS
(IV) PROGRAMME DETAILS, GIVING DATEWISE AND SESSION-WISE BREAK-UP
OF THEMES INCLUDING INAUGURAL AND CLOSING ADDRESS.
13. HAVE YOU RECEIVED ANY FINANCIAL SUPPORT FOR SEMINAR/PROJECT ETC. FROM ICSSR EARLIER?
IF YES,
GIVE DETAILS:
YEAR_______
AMOUNT_________ PURPOSE__________________________
_______________________
WHETHER REPORT SENT___________________
DATE
_______________ SIGNATURE
__________________
PLACE
______________ NAME & ADDRRESS
_______________________
______________________________________________________________
______________________________________________________________
*IF NGO, THEN KINDLY FILL-UP THE PROFORMA PROVIDED UNDER THE ICSSR RESEARCH GRANT SCHEME.