APPLICATION FOR ATTENDING CONFERENCE/SHORT TERM COURSES WITHIN OR OUTSIDE INDIA (ONLINE/VIRTUAL MODE)

1.Name of the Applicant
2.Department/ School
3.Name of the Course
4.Present Academic Level (Year etc)
5.Roll No. (For UG/PG students)/ Date of Registration (for PhD students)
6.Name of Supervisor(s)/ Mentor(s)
7.Name of the Conference/ Course
8.Address of the Conference/Course with duration and date
9.Organizer of the Conference/ Course
10.Title of the Paper (Abstract to be attached) (only for Conferences)
11.Name(s) of Co-author(s) (only for Conferences)
12.Whether the Paper (for Conference)/ Application for Participation (for Course) has been Accepted (Letter of Acceptance to be attached) 
13.Number of Paper published in Journals and Conferences (Journal: Conference: )
14.Financial Requirements
   a. Registration (in INR for Conferences in India and in actual foreign currency with equivalent INR value)
     (Announcement of Conference showing registration fee to be attached)
   b. Any other (with justification)
15. Fund Requested from TEQIP III (Maximum Rs. 10000)
16. Whether support from TEQIP III has been sought for attending Conferences/ Courses earlier (if yes, give details)
Decalration
1. No financial support has been received or sought from other sources for the same paper and event for which funding has been sought from TEQIP - III
2. No coauthor of the paper has applied for funding from TEQIP-III for the same paperdocuments described in 
3. I agree to submit a participation certificate from the conference organizers and a report on my attending the conference, highlighting the benefits accrued within two weeks of the event. 
   (The report should be submitted through supervisor(s)/mentor(s) and HOD/Director of School).
4. I agree to mail the scanned copies of documents described in Item 3 to academicnodal.teqip@jadavpuruniversity.in with a copy to teqip.cell@jadavpuruniversity.in within one week of the event.
5. The information furnished above are correct to the best of my knowledge and belief.




Signature of Applicant
(Full Name to be typed)