proposal form for MUG Activity

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LEARNING INNOVATION Division
HIGHER EDUCATION COMMISSION
H-9 Islamabad
Pakistan
Ph: +92 51 90400817
Fax: +92 51 90400806
Proforma for Conducting Modern University Governance Program Activity
Name:
Complete Address:
E-mail Address:
Telephone Number:
Fax Number:
TITLE OF PROPOSED WORKSHOP/SEMINAR:
PROPOSED LOCATION:
PROPOSED DATES:
NUMBER OF WORKING DAYS:
THEMES AND MAJOR OBJECTIVES OF THE PROGRAM
Please state the principal themes, objectives and the learning outcome of the workshop. Why is it
important to hold a workshop on these topics? Please give details of the program indicating how the
sessions will be organized. Do you know of any ACTIVITY on the same theme held in the past year - 18
months or scheduled for the near future? Have you organized any previous Program on this or any other
theme (if so please give details?
PROGRAM OBJECTIVES
LEARNING OUTCOMES
NUMBER AND SELECTION OF RESOURCE PERSONS
To be arranged by HEC
YES
NO
Arranged By you
YES
NO
Please list individually and indicate (together with the city, designation and where they work):
SELECTION OF THE VENUE
What are the particular reasons for your choice? Are special board and lodging facilities available? Will
everyone be housed together?
Participants need accommodation to attend this workshop OR not?
CO-SPONSORSHIP
Will you seek financial co-sponsors for the workshop?
Yes
No
If yes, please give details:
Have co-sponsors already agreed to provide support?
Yes
No
If so how much?
Have they any special conditions?
Yes
No
NUMBER AND SELECTION OF PARTICIPANTS
Please supply the following information where appropriate:
(a) Maximum number of participants should be 30.
(b) Criteria that will be used for selecting the participants
PROVIDE PARTICIPANT DETAILS HERE:
Participant Details
S.#
Name
Designation
Department
Name
Date of Appointment
NIC #
Email ID
Contact
#
PREPARE THE ESTIMATED BUDGET OF THIS ACTIVITY.
S#
Head of Expenditure
1
TA/DA to Resource Person
2
Honorarium of Lectures to Resource person
Amount
in Rs.
Rs. 4000/- per session if Resource person is PhD.
Rs. 3500/- per session if Resource person is M-phil.
Rs. 3000/- per session if Resource person is Masters.
A session would be of 90 minutes.
3
Working Lunch
@Rs. 250 x number of participants x number of workshop days
4
Daily Refreshment
@ Rs. 70 x number of participants x number of workshop days
5
Stationary Items (Folders with writing pads, Ball pen, Banners)
6
Contingency
7
Remuneration to Supporting Staff (Host organization staff only)
Maximum Rs. 5000/-
8
Remuneration to Workshop Organizer
Maximum Rs. 5000/Total:
Please mail/fax the complete form to Learning Innovation Division, Higher Education Commission,
H-9, Islamabad, Pakistan. Tel: +92 51 90400817 Fax:+92 51 90400806, Email: satta@hec.gov.pk
FOR OFFICIAL USE ONLY
Date Received
Reviewed
Decision
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