RECORD SHEET
(To be filled in by the applicant)
1. Applicant details
Name of the applicant :
Designation :
Department :
Full Address:
2. Tel. No. i) Office:
ii) Fax :
iii) Mob :
iv) Res :
v) e-mail :
3. A. Name of the Event (Conference/Seminar/Symposium/Workshop/ Training
Programme):
B. Name of the Organiser(S) :
4. A. Venue :
B. Start and End Date of the Conference/Workshop :
5. Broad Area of the event: (please tick )
Law ( ) Information Tech.
( )
Management ( ) Education
( )
Commerce ( )
Journalism ( )
6. Purpose of visit.
A. (i) Presenting Paper : YES/NO
(ii) No. of papers to be presented :
(iii) Whether Single author /one of the authors :
I _____________ hereby mentioned that the information furnished above is
correct and true to my knowledge and hence requesting you to kindly
approve my proposal.
Date : Signature of applicant
Place:
Signature of the Head of the
Institution
& Official Seal of forwarding authority
Approved/Not Approved
For Office Use