1
APPLICATION FORM
Partial Financial Assistance to Organise
Seminars/Conferences/Workshops in India
Applicants should read the General Guidelines
before completing the Application Form
Name and Address of the Organizers:
Phone:
Fax:
E-mail:
Web site:
Name and address of the Convener:
Phone:
Fax:
E-mail:
Theme of the Conference/Seminar/Workshop
Proposed Dates:
Sub-Themes:
1.
2.
3.
4.
5.
Venue:
Number Of Participants
(in number) (in words)
Local
Outstation
Foreign
Total
Funding Details
2
Detailed Budget Indicating Amount to be incurred on TA/DA, Hospitality, Transport, Stationery,
Secretarial Assistance, Typing and xeroxing work and other contingent expenditure etc.
(Requests for publication of the proceedings are entertained separately).
S.No. Items
Amount
1. Domestic Travel
2. Accommodation to foreign participants
3. Accommodation to Indian participants
4. Tea snacks, Lunch and dinner
5. Transport
6. Stationery
7. Xeroxing
8. Secretarial assistance
9. Contingency
10. Honorarium to paper writers
11. Any other (specify)
TOTAL
*Please consult Guidelines for preparing the Funding Details.
Amount expected from the ICSSR
Institutional Funding
Own Contribution
Amount sought
Amount sanctioned by the
institution
Funding from other sources:
Name of organization
Amount sought
Amount sanctioned
3
I hereby certify that the above information is correct to the best of my knowledge and that I shall
abide by the Terms & Conditions as laid down in the guidelines of the Scheme.
Signature of the Applicant
Date
Name (block letters)
Designation:
Address:
Signature of the Head of the Institution/Organisation
Date
Name (block letters) (Seal)
Designation:
Address:
N.B.
1. The application should be forwarded by the Head of the Institute/Organisation viz.
Director/Registrar/President/Chairman, etc. duly signed and stamped.
2. In case of approval, the funds will be released to the forwarding Institution/Organisation.
3. NGOs should enclose the NGO Profile Form S along with relevant documents.
4. In case of non-fulfillment of any of the Terms & Conditions, the applicant/organisation will
not be eligible for further support under any of the schemes of ICSSR.
Applications, complete in all respects, should be addressed to:
The Director
International Collaboration
Indian Council of Social Science Research
JNU Institutional Area, Aruna Asaf Ali Marg
New Delhi 110 067