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NITR Foreign Travel

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11 views2 pages

NITR Foreign Travel

yes form

Uploaded by

raclab sl109
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Form : NITR/AC/

राष्ट्रीय प्रौद्योगिकी संस्थान, राउरके ला


National Institute of Technology, Rourkela
(An Institute of National Importance under Ministry of HRD, Govt. of India)

APPLICATION FOR APPROVAL AND FINANCIAL SUPPORT TO TRAVEL ABROAD

No: NITR/________________________________ Date :________________________________

Name: Mr./Ms.____________________________ Roll No.: _____________________________

Academic Programme :_____________ Department:

1. Reason for travel : To attend Conference/Symposium/Workshop/ Short-term Course /Training Programme

2. Details of the programme,


a) Name of the Programme : ________________________________________________
b) Name of the Orginizing Body : ________________________________________________
c) Place : ________________________________________________
d) Country : ________________________________________________
3. If Prsenting a paper,

a) Nature of presentation: ORAL POSTER (Put a tick)


b) Title of the Paper : ________________________________________________
c) Name of the Author: ________________________________________________
d) Name of Co-author(s), if any: ________________________________________________

4. Intend to visit any other Organization en-route : Yes / No


(Note- Additional fund to be met from Sponsored Project / External agency )
5. a) Duration of the main program - From_______________ To ___________________
b) Duration of visiting other organization From_______________ To ___________________
c) Duration of absence including travel: From_______________ To ___________________
6. Travel for visa required – Yes/No . If Yes, Place : ___________________________________________
7. Overseas programs attended during past 3 financial years including the current financial year :
[If yes, please give details in the following table]
Month Name of the Place/ Expenditures met (Rs.)
/Year Programme Country Institute Projects Others Self Total

8. Supporting Documents enclosed (please tick as applicable) :

Programme Brochure Letter of acceptance Abstract of paper Any other document


P.T.O.
9. Estimated Expenditure in INR : (please make appropriate conversion wherever required)

Particulars of Expenditure Visa Related Main Programme


Processing / Registration Fee
2- way fare within India
Daily Allowance and/or Per Diem (abroad)
2-way international air fare
Any other expenses
Total Estimated Expenditure in INR
10. Source(s) of Funds :
Sl.No. Sources of funding Amount requested (Rs.)
1 Sponsored Project of the Supervisor
2 DST
3 CSIR
4 Institute Fund
5 Any other (Please specify)
Total (Rs.)

11. Advance requested : Yes/No (If Yes, amount Rs. _____________________________________________)

12. Declaration: I declare that the conference/workshop I am going to attend has a bearing on the project I
am carrying out at NIT Rourkela and I shall deliver a seminar talk on the proceeding of the conference in
my department to an open audience on my return. The fund received will be utilised to meet the
expenditure to be incurred during the concference and I shall produce bills of expenditure in original for
settlement of advance within one month of my return.
____________________
Signature of the student
Date:_______________
13. Recommendation of the supervisor: ___________________________________________________________
____________________________________________________________________________________________

_______________________
Signature of the Supervisor
14. Recommendation of the HOD: __________________________________________________________________
____________________________________________________________________________________________

______________________
Signature of the HOD
15. Recommendation of Dean (Academic)
a) Travel may be approved.
b) An amount of Rs. _________________ may be sanctioned from Institute fund.
c) Maximum of 90% of sanctioned amount may be approved for advance.

_____________________
Dean (Academic)
16. Approved / Not approved

Director

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