Csir Form
Csir Form
Year
20__
______ no(s)
: Rs.__________
: Rs.__________
: Rs. _______
9. Details of enclosures:
S.
Details
No.
i.
ii.
Enclosed
Page no of
(Pl tick mark Annexure
)
Yes
No
From To
ii.
iii.
Central University
iv.
State University
v.
Deemed University
vi.
vii.
Private College
Mark
viii.
ix.
Autonomous Body
Research Institute
x.
Professional Body
xi.
Registered Society
xii.
Private Industry
xiii.
xiv.
Discipline
Chemical Science
Engineering
Mathematical Science
Physical Science
Earth Science
Life Science
Medical Science
Multi-discipline
Mark
From
Month
Year
20__
Date
To
Month
Year
20__
Address _________________________________________________
________________________________________________________
City ________________ State ________________ Pin ________
Contact No with STD code ____ ____________
Mobile no ______________________
e-mail ids ______________________ ________________________
(f) When was a Symposium /Seminar/Conference/Workshop etc. on the same
topic organized last: ______________________________________
3. List of various Technical Sessions attached (Pl tick mark ): Yes
/ No
4. (a) Indicate briefly within 20 lines the relevance and scientific / technological
importance of organizing the Symposium/Seminar/Conference/Workshop etc.
in the context of the present day national needs:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
(b) Specify the last Symposium/Seminar/Conference/Workshop etc. organized
by the Scientific Society/Academic Institution, what were its recommendations
and what follow-up steps have been taken by the Society/Academic Institution
/Organization (including involvement of the Scientist of CSIR Laboratories) in
implementing the recommendations and also reason out with appropriate
justification
why
the
CSIR
should
support
the
present
Symposium/Seminar/Conference/Workshop etc.:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
5. (a) Pl indicate which of the CSIR Lab is working in the same area of
Conference / Seminar/ Workshop etc. _______________________________
(b) Have you approached any of the CSIR Laboratories for co-sponsorship or
for participation in the Symposium/ Seminar/ Conference/Workshop etc If so,
provide the names of such laboratories/Institutes along with details of the
different technical sessions :
S.No
i.
Technical Session
ii.
iii.
-(c) Names of the CSIR Scientists who will be participating :
4
S.No.
i.
ii.
iii.
-6. Indicate if the Scientific Society is organizing the Symposium/ Seminar/
Conference/ Workshop etc in collaboration with any Government Department,
University Department, Registered Society, or Autonomous Body.(If yes, these
may be named): ___________________________________________
7. Also, attach an attested copy of the willingness letter from the Institute/
Agency, which has extended facility for holding Symposium / Seminar /
Conference / Workshop etc:
8. (a) How many total delegates are expected to participate indicating the
number of national, foreign delegates, research students etc.
Total Delegates
National Delegates
Foreign Delegates
Research Students
Any Others
:
:
:
:
:
________no(s)
________no(s)
________no(s)
________no(s)
________ no(s)
ii.
iii.
-9. How many delegates would read papers
____ no(s)
____ no(s)
11. (a) Will the proceedings be published (Pl tick mark ): Yes
/ No
/ No
Budget Head
Amount (Rs)
TA/DA
Pre-Conference printing (announcements,
abstracts etc.)
iii. Stationery
iv. Secretarial Assistance
v. Estimated expenditure on Publication of
proceedings*
vi. Boarding and Lodging of delegates
vii. Total ( 12 i to vi )
* Number of pages of proceedings (
);
Number of copies to be printed (
)
13.
14.
Title
Amount (Rs)
15.
S.
No.
Grant
Requested
(Rs.)
Grant
Received
(Rs.)
Grant
Expected
(Rs.)
Items for
which grants
have been
requested
i.
ii.
iii.
-16. (a) Did the organizers receive any grant from CSIR in the past ( From 1 st Apr
2004 onward ) If yes, please indicate:
S.
No.
Total
Amount
(Rs)
i.
iii.
Sym/
Ref No._______
Sym/
Ref No._______
(b) Copy of the Audited Utilization Certificate of the last grant received from
CSIR may please be enclosed. The request for the grant would be
considered only if audited Utilization Certificate of the all previous
grants has been sent and the copy of the last grant is enclosed
herewith.
17. Name of Authority to whom NEFT/RTGS payment is to be made (Pl tick mark
):
S. No.
i.
ii.
iii.
iv.
7
Authority
Director
Registrar
Dean
Finance Officer
Mark
v.
vi.
vii.
Medical Superintendent
Principal
Any Other Authority designated by your
Organization/Institute
(Kindly specify ______________________)
10