COUNCIL OF SCIENTIFIC AND INDUSTRIAL RESEARCH Human Resource Development Group CSIR Complex, Opp Insttute o! Hotel "ana#ement L$rar% Avenue, Avenue, &usa, Ne' Del() **++*, In-a Tel. Te l. +**) /01*+23 4e$ste. (ttp.55csr(r-#6res6n Grant)n)a- 7ll !or ! or Tr Travel avel Grant Grant for for Non Regular Employees (Submitted in duplicate) Date: Date ___ Month ___ Year 20 ___ Head HRD Group, CSIR Complex, Pusa, Ne Delh!"##00#2 San$t!on No : TG5888888888885888888 ))HRD #% Name o& the $and!date: _____________________________________________________________ 2 'ddress o& the $and!date ___________________________________________________________ _____________________________________________________________ C!t( C!t( __ ____ ____ _____ _____ ____ _____ _____ Sta State te __ ____ ____ ____ ____ ____ ____ ____ _____ _____ ____ P!n ___ _____ ____ ____ ____ __ Conta$t No !th S)D $ode ____ ____________ Mo*!le no _____________________ e"ma!l !ds _____________________________ ________________________________ +% Name o& Con&eren$eS(mpos!um et$%: ______________________________________________________ -% Pla$e o& Con&eren$eS(mpos!um et$%: ______________________________________________________ .% Per!od o& Con&eren$eS(mpos!um et$%: From Date __Month __ Year 20__ /% Grant Grant S San$t an$t!one !oned: d:
To Date __ Month __Ye __Year ar 20__
ull '!r are are H Hal& al& '!r are are R Rs%__ s%______ _______ ______ _______ _______ ______ ____ _
1% Deta!ls o& &!nan$!al support 9n In-an Rupees:: Name o& the r3an!4at!on
<h <heether ther tra9 tra9el eled ed *( '!r In Ind! d!aa: Ye Yes N Noo Pl Pl t!t!$= $= ma mar= r= > ; I& no !!nn 8! 8!;; a*o a*o9e 9e,, the nnam amee o& th thee ' '!rl !rl!ne !ne **(( h! h!$h $h tra tra9el 9eled ed:__ :____ _____ _____ ____ _____ _____ _____ _____ _____ _____ ___ _ Sta State te als alsoo the rea reason son h( h( th! th!ss de9 de9!at !at!on !on as as ne$ ne$ess essar( ar(:__ :____ ____ ____ ____ _____ ______ _____ ____ ____ _____ _____ ____ ___ _ <heth <hether er Perm Perm!ss!o !ss!onn &ro &rom mM M!n!st !n!str( r( oo&& C! C!9!l 9!l '9!at!o '9!at!onn ta ta=en =en &or ttra9e ra9ell ot other her than '!r Ind! Ind!a: a: Y Yes esNo No Pl t!$= mar= > ; I& ((es es !n 8! 8!9; 9; a* a*o9e o9e,, th then en oor!3 r!3!na !nall pe perm! rm!ss! ss!on on atta atta$h $hed ed:: Y Yees No Pl t!$ t!$== ma mar= r= > ; an andd !& or!3 or!3!na !nall perm!ss!on to travel ot(er t(an Ar In-a Arlnes not atta$hed, then 3rant !ll not *e released%
?% Pl t!$= mar= >; the name o& the author!t( to hom the N5) pa(ment !s to *e made: D!re$torRe3!strar Dean Med!$al Super!ntendent Super!ntendent Pr!n$!pal!nan$e &&!$er an( author!t( des!3nated *( (our r3an!4at!on r3an!4at!on Inst!tute, =!ndl( spe$!&( _____________________________________________ and pro9!de deta!ls as per N5) &ormat en$losed Cert!&!ed that the amount $la!med !n th!s *!ll as ut!l!4ed &or the purpose &or h!$h !t has *een san$t!oned san$t!oned,, I attended the a*o9e $on&eren$e S(mpos!um or=shop et$ and all the part!$ulars &urn!shed a*o9e are $orre$t%
_____________________ S!3nature o& the appl!$ant
S!3nature o& the Gu!de !th date :__________________ Gu!de Name _________________________________ Des!3nat!on ___________________________________
___________________ _____________ _____________ ______________ _____________ _____________ ________ _ S!3nature o& the D!re$tor Re3!strar Dean MS Pr!n$!pal Head o& the Inst!tut!on alon3 !th Seal an- Date
TO 7E FILLED 7; CSIR)E"R 7u-#et Hea-) &0*)*+< Su$s-% !or Travel Grant
Passed &or Rs:________________R Rs:________________Rupees____________________________________________________ upees___________________________________________________________; _______; Name o& the author!t( to hom the N5) pa(ment !s to *e made: D!re$torRe3!strar Dean Med!$al Super!ntendent Pr!n$!pal!nan$e Pr!n$!pal!n an$e &&!$er _____________ ___________________ _____________ ___________ ____ as pe perr N5) &orma &ormatt en$losed%
Deput% 5 Un-er Secretar% 5 DDO TO 7E FILLED 7; CSIR)Au-t 9 E"R III :