Indian Council Of Social Ministry of Human Resource
Science Research (ICSSR) Development, Government of
India
IMpactful Policy REsearch in Social Science (IMPRESS)
Application Form
Paste Your
Broad Domain
Passport
Size
Photograph
Broad Sub-domain Here
Title of the Research Proposal
________________________________________________________________________________
PERSONAL INFORMATION
Name of the Project Director
(PD)
(In Block letters)
Father’s Name
Mother’s Name
Date of Birth (DD/MM/YYYY)
and age as on last date of _____/_____/_____, _____ Years _____ Months
application.
Address for communication
(including mobile number and
email ID)
Permanent Address
Indicate your category
Male Female Transgender
GEN SC ST OBC
Persons with Benchmark Yes No
Disability
Educational Qualifications of the Project Director
Name of Degree Name of the Year of % of marks Main Discipline
University Passing
Master’s
M. Phil.
Ph. D.
Post-Doctoral
Research Experience of the Project Director
Number Brief Detail (Title and supporting Institution)
Project Completed
(latest 5)
Ongoing projects
(with completion date)
Fellowships
Ph.D Guidance
M.Phil Guidance
Papers published in
Journals (max. 5)
Papers published in Books
(max. 5)
Books published (max. 3)
Are you in Service? * Yes * No
If yes ---
Designation: (Professor / Associate
Professor / Assistant Professor /
Others)
Employer’s details
Name:
Address:
Contact Number:
Email ID:
Website:
If No ----
Last Designation: (Professor /
Associate Professor / Assistant
Professor / Others)
Last Employer’s details
Name:
Address:
Contact Number:
Email ID:
Website:
Affiliation Details
Name & Address of the affiliating
institution
(website including phone number,
email ID)
Type of affiliating institution Institute of National Importance
Central University
State University
Govt. funded Institutions
ICSSR Research Institute
Private Institutions with UGC 12(b) status
Details of Project Co-Directors (if any. Maximum 3)
Name Designation Institution
Whether received any financial assistance from ICSSR (latest 2 in case of yes)
Yes/No _____________________________________
Year of Award _____________________________________
Amount sanctioned _____________________________________
Date of Completion, if completed _____________________________________
If incomplete, proposed date of completion _____________________________________
Whether received any financial assistance from any other national/international institution
(latest 2 in case of yes)
Yes/No _____________________________________
Year of Award _____________________________________
Amount sanctioned _____________________________________
Date of Completion, if completed _____________________________________
If incomplete, proposed date of completion _____________________________________
Total Grant expected under the
scheme (In Rs.)
Duration Proposed
Declaration
I hereby declare that:
1. I am not a defaulter of any previous grant from any of the MHRD funded Institutions.
2. I have neither been subjected to any disciplinary action nor found guilty of any offence in
my career.
3. The Research Proposal and its contents are entirely original (not plagiarized) and as per
the standard practice.
4. I have not concealed any information in my application. If ICSSR finds any contrary
information at any stage, it may cancel my project at any stage.
Place:
Date:
Signature of the Applicant
DOCUMENTS TO UPLOAD
1. Brief academic CV (not more than 2-3 pages.
2. Self-attested SC/ST and disability certificate issued by the competent
authority.
Indian Council Of Social Ministry of Human Resource
Science Research (ICSSR) Development, Government of
India
IMpactful Policy REsearch in Social Science (IMPRESS)
Seminar/Workshop/Conference Proposal
Broad Domain
Broad Sub-domain
Title of the Proposed Seminar/Workshop/Conference ________________________________
_______________________________________________________________________________
Introduction of the proposed Seminar/Workshop/Conference (approx. 200 words)
Objectives of the proposed Seminar/Workshop/Conference (approx. 150 words)
How will the Seminar / Conference / Workshop benefit the policy making in the mentioned
domain and sub-domain area? (Max. 150 words)
Proposed Date, Duration and
Venue
Nature of Seminar / Conference / International
Workshop National
Collaborative
(If yes, with whom _______________________________)
Type of participations □ International ______________________________
□ Indian (local area) ______________________________
□ Indian (outstation) ______________________________
Main Deliverables of the Seminar / Conference / Workshop
□ Papers to be presented with titles and presentations
_______________________________________________________________________
_______________________________________________________________________ +
Publication Plan
□ Publication of proceeding (Date of Release)
____________________________________________________________________
□ Publication of Book (Edited) with possible list of papers
______________________________________________________________________
______________________________________________________________________ +
□ Publication of Lectures of Key Resource persons
______________________________________________________________________
______________________________________________________________________ +
□ Publications as papers in Journals
______________________________________________________________________
______________________________________________________________________ +
Key Resource Persons Name, Position, Title of paper / presentation
With their specialisation and topic ______________________________________________
of presentation/paper ______________________________________________ +
Expected Participants with papers Attach file
(Title of the papers)
Total number of Participants Organisers ___________________________
Resource persons ___________________________
Paper presenters ___________________________
Other participants ___________________________
Budget under given Heads of Particular Amount (Rs.)
Expenditure Domestic Travel* _____________________
International Travel* _____________________
* Expenses under Travel should not Accommodation _____________________
exceed 40% of the total budget. Any Food Expenses _____________________
relaxation in that would require a Honorarium to speakers# _____________________
permission of ICSSR. Contingency/Office Expenses _____________________
# Honorarium to speakers include Key Any other _____________________
paper writers and presenters / lecture
deliverers and is subject to publication
Total _____________________
Expected Receipts Particular Amount (Rs.)
1. Participation/ Delegation fee ___________
2. Assistance from any other
Institution / collaborative agencies ____________
a. ______________________ ____________
b. ______________________ ____________ +
Total ___________
Total Grant expected from ICSSR
(In INR)
Place:
Date:
Signature of the Convener
DOCUMENTS TO UPLOAD
1. Forwarding letter from the Head of the affiliating Institution duly stamped and
signed on the letter head.
UPLOAD DULY STAMPED AND SIGNED ON THE LETTER HEAD
Forwarding Letter by the Affiliating Institution
(By Head of the University/College/Institution)
The In-charge,
IMpactful Policy REsearch in Social Science (IMPRESS)
Indian Council of Social Science Research (ICSSR)
JNU Institutional Area
Aruna Asaf Ali Marg,
New Delhi - 110067
The_________________________________________________________________
(Name of the organization) forwards application of ___________________________
(Name of the Convener) for the financial assistance for organizing seminar / conference
/ workshop on the theme - ________________________________________________
_____________________________________________________________________
with an undertaking that this organization agrees to administer and manage the
IMPRESS Seminar Grant and provide basic infrastructural facilities for the above-
mentioned seminar /conference / workshop as per rules of the grant.
The institution shall be responsible for submitting the audited statement of accounts
and utilization certificate for the grant received by it for this purpose.
Signature of the Director of the Institute /
Registrar/ Principal
(with name and stamp)
Place:
Name:_______________________
Date:
Designation:__________________
