Annexure 2

Form-CSIR/SYM/19/MAIN
COUNCIL OF SCIENTIFIC AND INDUSTRIAL RESEARCH
HUMAN RESOURCE DEVELOPMENT GROUP
CSIR COMPLEX, OPP INSTITUTE OF HOTEL MANAGEMENT
LIBRARY AVENUE, PUSA, NEW DELHI- 110012, INDIA
Email: tgsm[at]csirhrdg[dot]res[dot]in
Phone:0112584107

Symposia Grant Scheme for Organising Scientific Events (Symposia/

Seminars / Conferences/ workshops, etc. within India

MAIN APPLICATION - (TO BE FILLED IN BY THE ORGANIZERS)

1. a) Name of the Organization under whose auspices, the Scientific Event is proposed to be
organised: :

b) Nature of the organization (Pl tick mark √):

S. No. Institution/scientific organization Mark √
i. Govt. Organization
ii. Central University
iii. State University
iv. Deemed University
v. State Govt College
vi. Private College
vii. Autonomous Body
viii. Research Institute
ix. Professional Body
x. Registered Society
xi. Public Sector Undertaking
xii. Others (Pl Specify)

2. a) Full title of the Event: _

b) Major discipline the Scientific Event Falls under (Pl tick mark √ as applicable):

Chemical Sciences Life Sciences Engineering Mathematical Sciences

Physical Sciences Earth Environment, Ocean and Atmospheric Sciences

Medical Sciences Multi-disciplinary IT/ITES/Information Sciences

c) Venue of the Event: Address : _

City State Pin
Date of the Event (DD/MM/YY): From / /20 to / /20

d)
e) Organizers (Name and affiliation)
Chairperson :
Organizing Secretary:
f) Complete Address of the contact person for all Communications:

Name: Dr/Ms/Mr MALE FEMALE

Designation:_
Department(if any):
Name of the Institute/Society:
Address

City State Pin

Contact no with STD code Mobile e-mail

3. When was an activity on the similar topic organized by you last:

4. a) Main theme of the Scientific Activity (Attach separate sheet, if required):

_
_
b) Details on the scientific program and technical sessions (Attach separate sheet, if required)
_
_

5. a) Relevance in the national context (Attach separate sheet, if required):

_

b) How will the activity help in the promotion of science (Attach separate sheet, if required)

6. a) Indicate which of the CSIR laboratories/institutions are engaged in the main theme of the
scientific activity:
Name of the CSIR Laboratory Theme Area/Technical Session
i.
:

b) Indicate if any CSIR Scientists are expected to participate:

Name of the scientist Laboratory/Institution
i.
:

7. Authority letter from organization permitting Organizers to hold the Event enclosed? Yes/No.

8. a) Details of Participation:
Total delegates Young Scientists
National Nos Ph.D.Students/ Res. fellows Nos
International Nos Post Docs Nos

b) Principal speakers (Keynote/Plenary and Invited)

S.No. Name Institution
i.
ii.
iii.
9. Details of Young Scientist sessions, if any Oral Poster (Tick as applicable):

10. Indicate How many delegates will be offered support (Approx. Nos.):

Travel Registration Local Hospitality

11. Anticipated expenditure under the following heads:

S No. Amount (Rs)

i. Travel support
a. Senior scientists:
b. Young Scientists :
ii. Registration Fee Waiver
a. Senior scientists:
b. Young Scientists :
iii. Promotion (web site, brochures, stationary, proceedings)
iv. Secretarial assistance
v. Local Hospitality
vi. Venue Charges
TOTAL

12 .Anticipated income:

S No Details Amount (Rs)

i. Registration fee
ii. Scientific Exhibition
iii. Grant from the organizing society/Institution/
organisation
iv. Sponsorship
v. Any other Source
TOTAL

13. Estimated Head-wise Grant requested from CSIR:

S. No. Budget Head Amount (Rs)
i Travel expenses for a.
Senior scientists: b.
Young Scientists :
Ii Registration Fee Waiver
a. Senior scientists:
b. Young Scientists :
Iii Promotion (web site, brochures, Stationery, proceedings)
Iv Secretarial assistance
v Local Hospitality
vi Venue Charges
TOTAL
14. Details of other R&D Organizations/agencies approached for sponsoring the proposed activity:
S. No. Name of the agency/ R&D Grant Grant Grant
organization requested received expected
i.
ii.
iii.

15. a) Have you received any grant from CSIR during the last 3 years. If yes, give details:
S. No. Amount (Rs) CSIR Grant No Conference Title and Whether audited statement
period of expenditure/UC has been
submitted?
i.
ii.

b) Copy of the audited statement of expenditure/utilization certificate of the LAST GRANT

RECEIVED FROM THE CSIR must be enclosed. (Current application will be considered
only if the above documents on all previous grants have been received by the CSIR
HRDG)

16. State the name of the Authority (Director, registrar, Dean or any other designated authority)
of society/Institution/organization to whom the grant can be released. (Please note that
the grant cannot be released to an individual’s account):____________________________

17. Any other information, which you may like to add:

In not more than 200 words

We further declare that the information furnished above is correct and that we have
submitted all UCs/Audited statement of expenditure for the support availed from CSIR
under this Scheme in the past.

18. Signatures with Seal:

Organising Secretary: Chairperson of Organising Head of the Institution /

Committee Organisation

Signature ________________ Signature ________________ Signature____________

Name : Name : Name_______________

Mob No. Mob Mob No.
Email Email ID_ Email ID_

Seal / Stamp Seal / Stamp Seal / Stamp