Wednesday, 9 October 2013

TAMILNADU STATE COUNCIL FOR SCIENCE AND TECHNOLOGY

TAMILNADU STATE COUNCIL FOR SCIENCE AND TECHNOLOGY
(Autonomous body of Govt. of Tamilnadu)
DOTE Campus, Guindy, Chennai – 600 025.

Application for the grant of  Partial Financial Assistance for
Conference/ Seminar/ Symposia/Workshop

1. Name of the  Organisation & Address                :
2. Name of the  Coordinators & Address               :
3. Nature of  the  activity (Conference/                 :
    Seminar/Workshop, etc)
4. Level ( Institutional/State/National/Inter-        
     National)
5.  Duration with dates                                             :
6.   Topic                                                                   :
7.   Nature    of     participants  ( Teachers/            :
Researchers /  Industrialists /  College
Student etc.)
8.  Expected number of participants                       :
9.  Name designation, and address of  speaker      :
lecturers etc.(Separate sheet to  be used)
10. Total   expected  expenditure ( break -  up      :
details to be attached separately)
11.  a) Assistance sought from the State                :
b) Council & Head of Expenditure
Assistance  from  other    agencies              :
expected/   obtained  &   head    of
expenditure for which the grant was
sanctioned /requested.
12. Any other points for consideration (Social          :
relevance, beneficiaries,   employment potential,   
improvement  of  production or quality, etc)
13. Authorized   Person    responsible  for sub-         :
mission of  report,  Utilisation  Certificate etc.
14.       In favour of whom the grant is to be given     :

Station                                                                              Signature of the Coordinator
Date

Signature of the Head of the  Institution/
organisation /Agency

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