The maharaja sayajirao university of baroda

THE MAHARAJA SAYAJIRAO UNIVERSITY OF BARODA
Application form for Deputation to Conference/ Seminar/ Symposia etc..

ABROAD

Office Endorsement Number: Date:

	Name of the Teacher
	Designation
	Department
	Faculty/College/Institute
	Details of Conference/Seminar/Symposia etc.	Name: Place: Date (In DD/MM/YYYY Format) From: To:
	Name of the organizing Institution/Govt. Body/Govt. Accredited agency.(Attach Documentary evidence)
	The Conference/Seminar is being attended as /for (Tick/Specify whatever is applicable)	Member of any committee Chairman of Committee Delivering Key note address Plenary Lectures Presenting paper - Oral Presentation Poster Presentation To give Symposia/ talk/invited lectures If Others, Please Specify:
	Title of the paper / lecture / talk (attach invitation letter/letter of acceptance of the paper along with one copy of full paper.)
	Name/s of Author/s (in order as they appear on the paper.)
	List of publications in the area of specialization
	Estimated Expenditure	Air Fare: Registration Charges: Maintenance Charges: Others:
	Details of Financial Assistance received or applied from different funding Agencies, i.e. State Govt., INSA, DST, UNDP, ICSSR, ICHR etc or other sources recognized by the University.
	State whether ready to bear the balance of expenses from own fund, if approached and failed to get the required amount from the sources stated above.
	Whether you have attended International Conference / Seminar/Symposia etc. under the UGC Merged Scheme travel grant ABROAD during last three years	YES NO If yes, specify the following details Name: Place: Date (In DD/MM/YYYY Format) From: To:

Signature of the Applicant

• 
  The above information given by the teacher is correct.
  
• 
  Specific recommendation/remarks from the Head of the Department:
  

Tick whichever is applicable
The teacher has been invited to deliver plenary lecture/Chair a session, hence his/her application is forwarded for further necessary action.
The teacher has been specifically invited by name to contribute a paper to the Seminar/ Conference etc; hence his/her application is forwarded for further necessary action.
As the teacher has contributed a paper to the Seminar/ Conference etc. in response to an open general circular/notification, his/her paper was sent to two experts for evaluation. The Expert’s report in standard format has now been received. The application, along with the Expert’s report is forwarded herewith for further necessary action.
If Others, Please Specify:

Signature & Stamp of the Head of the Department

Signature & Stamp of the Dean/Principal/Head of the Institution

NOTE: Application should reach at least 60 days before the date of the Conference.
Appendix- A
THE MAHARAJA SAYAJIRAO UNIVERSITY OF BARODA
Evaluation report of the expert on the paper submitted by Dr. /Prof. /Mr. /Ms. ____________________________________________________, Department of _________________, Faculty/College/Institute of _______________________________________ for deputation under UGC Merged Scheme for a Conference/ Seminar/Symposia Abroad.
To,

The Dean/Principal/Head of the Institution,

__________________________________________

The M. S. University of Baroda,

Vadodara.
Subject: Report on the papers entitled

1. 
   _________________________________________________________
   

2. _________________________________________________________
Sir/Madam,
I have gone through the above mentioned research paper sent to me vide your

Letter no. ___________________________________ Dated _______________

In my view the paper is:

(Tick anyone whichever is applicable)

Outstanding

Good

Average

Below Average

Poor

Any other Remarks:
Signature of the Expert with rubber stamp


NOTE – Experts are requested to send their remarks within 10 days to prevent disqualification of the applicant from attending the conference. Kindly return the original paper along with this.