INDIAN INSTITUTE OF TECHNOLOGY
KHARAGPUR : 721302
APPLICATION FORM FOR PERMISSION TO ATTEND
SEMINARS/CONFERENCES/SYMPOSIUM/WORKSHOPS, ETC. ABROAD
1. a) Name b) Designation
c) Emp. Code d) Deptt./Centre
2. Name, Place, Period & Nature of Seminar/
Conference/Symposia/Workshop, etc.
3. Exact period of absence from the Institute with
Justification for any extended period of stay, if so
desired (Period of conference/Symposium/Workshop
etc. plus 2 days travel time is treated as duty leave)
4. Title of the paper submitted
(with names of all the authors in the case of multiple author
papers)
5. Paper Presentation (Oral/Poster)
(attach acceptance letter for proof)
OR
Chairing Session/ Presentation of an invited talk/
Attending Editorial Board, technical Committee
meetings. etc. as a member
(attach invitation letter as proof)
OR
Attending Workshop/symposium/seminar/editorial
board meeting etc. as resource person
(attach admission/acceptance letter as proof)
6. Whether sponsored by any organization other than the
Institute
(give details regarding financial assistance)
7. Financial assistance sought from other organizations,
(give details regarding the financial assistance secured)
Approximate TA & DA required (this should not include
DA for any extended period of stay)
The amount of the Registration Fee to be paid, if any
Amount of advance required from CPDA, if any
(limited to maximum one lakh only)
10. List of Foreign Seminars/Conferences/
Symposia/Workshops, etc., attended during the last 3
academic years. Give details (title, place, Institute’s
financial assistance, etc.)
11 For Sanction No. of papers published in
of additional journals during the last three
amount upto years (enclose copies of 1st page of
Rs. 50,000/-:* from papers)
SRIC fund
Projects undertaken during the
last three years (enclose list of
projects and their amount)
12. Any other remarks
___________________
Date : Signature of Applicant
* In the preceding three years, at least three published papers and also PI of projects amounting at least Rs. 15 lakh.
P.T.O.
Remarks of the Head of the Department /Centre :
i) The number of teacher attending / likely to attend Seminars / Conferences / Symposium /
Workshops, etc. in foreign countries during the current academic year is
…………………………………………….
ii) In case of multiple author papers it must also be certified that this applicant is the only author
being recommended for attending the Seminars / Conferences / Symposium / Workshops, etc.
iii) The faculty members has given / will be giving talk on the subject matter of the paper / topic of
the Symposium / Workshop on ………………………………………….
iv) Recommended / Not recommended :
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Head of the Department / Centre/School
Remarks of the Monitoring Committee :
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Convener
Remarks of the Director
……………………………………………
…………………………………………….
to put up to the Chairman, B.O.G.
Registrar to put up to the B.O.G.
not to put up to B.O.G.
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DIRECTOR
