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DEPARTMENT
OF SCIENCE & TECHNOLOGY
( SERC DIVISION) |
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(
PLEASE TICK OUT THE APPROPRIATE ITEM )
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| 1. | ACTIVITY | Seminar | Symposium | Conference | Workshop | |
| 2. | GEOGRAPHICAL COVERAGE | Regional | National | International | ||
| 3. | BROAD SUBJECT AREAS | Life Sciences | Chemical Sciences | Physical Sciences | Engg. Sciences | Others | |
| 4. | NAME OF CONFERENCE | ----------------------------------------------------------------------------------------------------- |
| ------------------------------------------------------------------------------------------------------ | ||
| 5. | DATES | From |
|
To |
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| 6. | VENUE |
| 7. | NAME AND ADDRESS OF ORGANISING INSTITUTION/COLLEGE/SOCIETY |
| Institute Name: | ||
| Department: | ||
| Address: | ||
| PIN: |
| 8. | STATUS OF ORGANISING INSTITUTE | Professional Body . | State Govt. ....... | Registered Society |
| Pvt. Industry ........... . | Pvt. College ..... | University ................ | ||
| 9. | NAME & ADDRESS OF CONTACT PERSON | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ||
| 10. |
DESIGNATION OF OFFICIAL EMPOWERED TO RECIEVE FINANCIAL GRANTS ( GRANTS WILL BE RELEASED ONLY IN FAVOUR OF HEAD OF INSTITUTION OR SOCIETY ) : |
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| 11. | BROAD DETAILS OF ESTIMATED EXPENDITURE: (In Rupees ) | |
| a. | TA/DA for Young Scientists (Indian ) | |
| b. | TA/DA for Senior Scientists ( Indian ) | |
| c. | Pre-conference printing (Announcements, abstracts, etc. ) | |
| d. | Publication of Procedings | |
| e. | Stationery | |
| f. | Secritarial Assistance | |
| g. | Local Hospitality | |
| h. | Misc. | .................................................................................. |
|
Grand
Total Rs.
|
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| ( Note: Grants if approved are released only to Items (a) to (d) by DST). | ||
| 12. | ESTIMATES OF PROCEDINGS: | |
| Will the procedings be priced? | ||
| No. of pages & copies to printed : | ||
| Approximate price of proceedings (Rs. ) : | ||
| Estimated cost of printing (Rs. ) : | ||
| Estimated income from sale of procedings (Rs.) : |
| 13. | DETAILS OF INCOME: | ||||
| Sources | Amount requested | Amount commited or recieved |
Items
for which grant requested
|
||
| A. | FROM: | OTHER | FUNDING | AGENCIES | |
| (a) | |||||
| (b) | |||||
| (c) | |||||
| (d) | |||||
| B. | |||||
| (a) | By Registraation: | ||||
| (b) | By Advertisement: | ||||
| (c) | Contribution by society/Institute: | ------------------------------------- | |||
| Total: | |||||
| 14. | FINANCIAL ASSISTANCE REQUIRED FROM DST FOR THIS CONFERENCE | |
| Specific items of expenditure | Amount(Rs.) | |
| (a) | ||
| (b) | ||
| (c) | ||
| (d) | ||
| ---------------------------------------------------------Total | ||
| 15. |
DETAILS OF PREVIOUS GRANT RECIEVED BY ORGANISING INSTITUTE,UNIVERSITY,COLLEGE, SOCIETY FROM DST IN PAST: |
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| DST Sanction No. & Date |
Name of Activity |
Amount Sanctioned (Rs.) | Please enclose the copy pf UC furnished to DST | |
| ------------------------------------------------------------------------------------------------------------------------------ | ||||
| 1. | ||||
| 2. | ||||
| 3. | ||||
| ------------------------------------------------------------------------------------------------------------------------------ | ||||
| 16. | DETAILS OF PARTICIPANTS IN THE EVENT: | |
| A. | No Of foreign Young Scientists : | |
| B. | No Of foreign Scientists: | |
| C. | No Of Indian Young Scientists: | |
| D. | No Of Indian Scientists: | |
| E. | No of Indian Scientists to whom TA/DA being offered : | Young
Scientists: Senior Scientists: |
| 17. | IN CASE OF INTERNATIONAL CONFERENCE KINDLY GIVE RESOURCES FOR INTERNATIONAL TRAVEL AND LOCAL HOSPITALITY: |
| 18. | BRIEF STATEMENT OF OBJECTIVE OF SEMINAR HIGHLIGHTING ITS IMPORTANCE IN NATIONAL CONTEXT (SEPARATE NOTES TO BE ATTACHED ) |
| a. | Review state of art |
| b. | Formulate specific programme of action |
| c. | Bring out the procedings/papers in the subject |
| d. | Other ( Please specify) |
| 19. | IS THIS SEMINAR HELD ANNUALLY? IF YES, PLEASE GIVE A BRIEF STATEMENT ON THE FOLLOW - UP OF THE RECOMMENDATIONS OF THE SEMINAR HELD IN PAST 3 YEARS | |
| 20. | DETAILS OF PAST EVENTS ORGANISED ON THE PROPOSED TOPIC IN INDIA. INDICATE TITLE, DATE, VENUE & BRIEF DETAILS | |
| Signature of applicant/Organising secretary |
Signature
of Head of
Institution OR President/ Secretary of Society |
|
| Place : | ||
| Date : | ||