APPLICATION FORM - National University of Singapore

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NGS
Educational
Allowance
Application
Form
For Conference/
Workshop/Seminar/
Lab Rotation/Short
Term Attachment
Instructions:
I.
BEFORE Travelling
 Complete this set of application form ONE month prior(if VISA needed, factor in extra time) to event start date
 Attached a copy of “Conference Leave Application” Form (available on the NGS website) along with this
application
 Attached a copy of approved “Holiday Leave Application Endorsement” email for any personal leave on top to
conference leave. Apply through “MYISIS” (if applicable)
 Submit the above 3 forms with the following documents:

Abstract of oral/poster with NGS Affiliation; acceptance or recommendation letter to attend conference for
oral/poster presentation
For lab rotation/overseas attachment, a set of proposal indicating purpose/objective, timeline with official
letter of invitation

Information on Registration Fee (indicate what component does registration entails) with conference/research
attachment itinerary

Quotation of Airfare using any airline website or agency including Pricebreaker for most economical and direct
route for conference period

Additional documents showing external grant eg. travel grant or supervisor’s funding
II.
UPON Approval
 Read up Overseas Trip Safety Guideline
http://www.nus.edu.sg/ngs/current_students/Overseas_Trip_Safety_Guidelines_CAA_051011.pdf
 Sign on “Exclusion of Liability & Indemnity Form for Event” found on the last page and send back to NGS office
III.
AFTER Travelling
 Complete the “Conference Allowance Reimbursement” Form (available on the NGS website)
 Submit the Conference Allowance Reimbursement Form, together with the following documents

1-page conference report, using the “Conference Report” Form (available on the NGS website)

Conference itinerary/ agenda/ programme outline

Air-ticket: Original Tax Invoice, Boarding tab and/or e-ticket

Original receipts: Registration fee invoice and receipt; Hotel Invoice; local transport/train. If registration of
conference is paid via credit card, student is required to submit a copy of bank/credit card statement for the
transaction
DO NOT PRINT THIS PAGE
For more details Guidelines & FAQ:
https://share.nus.edu.sg/ngs/students/Eduallow/Forms/AllItems.aspx
NUS Graduate School for Integrative Sciences and Engineering
NGSS
APPLICATION FORM - USE Of EDUCATIONAL ALLOWANCE (Conference)
Note: The educational allowance may be used for educational-related activities such as conferences, computer, books, etc. Students are
only allowed to spend up to S$4,000 per financial year (April previous year to March current year) and will have to seek approval from
NGS for the necessary funding.
SECTION I - TO BE COMPLETED BY APPLICANT (Student’s Particular)
1. Name:
Student No./Email: A
2. Supervisor(s):
Department:
3. Start of Scholarship:
/E
Expiry date of Scholarship:
4. Citizenship: □ Singaporean
□ Singapore PR
□ Others:
5. Research Area/Topic:
6. Type of Education Activities:
□ Local Conference
□ International Conference
□ Overseas Research Attachment
□ Others:
7. Name of Conference/Research Institute:
Venue:
Dates: From
To
□ Semester Week: Are you taking any coursework / having any duties during the above-mentioned period?
□ Have you sought formal permission to be absent from class / duties? If yes, please attach email. If no, why:
8. Frequency of Conference/Course/Attachment
□ Regular
□ Annual
□ Biennial
□ Others:
9. Nature of Attendance:
□ Open to all
□ By Invitation
□ By Nomination; specify nomination body
10. Nature of Participation:
□ Oral Presentation of Paper
□ Panel of Discussion
□ Poster Session
□ Others:
11. Details of Paper to be presented at Conference: (attach Abstract of Paper)
Title of Paper:
12. Authors / Co-authors:
Name
Department
13. Paper is the result of Multi-disciplinary research:
□ Yes
□ No
14. Paper has been presented previously/substantially presented previously:
Title of Conference/Overseas
course/attachment
Venue
Date
To
Centre for Life Sciences (CeLS), #05-01, 28 Medical Drive Singapore 117456
Website: www.nus.edu.sg/ngs
□ Yes
From
□ No
Amt of Financial
Assistance from
NGS
Page 2 of 5
08/2014/EA/CON/CIC
NUS Graduate School for Integrative Sciences and Engineering
15. Please state the objectives to be achieved by attendance in this conference/overseas course/research
attachment:
16. Conference Leave Period: From
To
(attach Conference Leave Form)
17. Leave to be applied immediately before, or after, the proposed conference leave:
□ Yes; From
To
(attached approved leave email)
□ No
18. Financial assistance requested, details given below:
No.
Description
Amount
a.
Airfare (attach 2 set of airfare quotation for conference period ONLY)
b.
Per Diem Allowance (applicable for conference/ course/ attachment period)
c.
Student Registration Fee (includes □ coffee break/meals □ accommodation)
Total (S$)
19. Any financial assistance received from other sources:
□ Yes; Details given below and copies of relevant correspondences attached
Source/WBS Number:
Amount:
Air-ticket:
Accommodation:
Per Diem:
Others:
□ No
20. I acknowledge that only ONE author per paper can submit an application for financial support from
NGS for the conference.
Date:
Signature of Applicant:
SECTION II - TO BE COMPLETED BY SUPERVISOR(S) OF APPLICANT
1. Application is supported:
□ Yes
□ No
Reason(s):
2. I acknowledge that only ONE author per paper can submit an application for financial support from the
University for the Conference.
Ranking in order of priority of students proposing to attend the same conference (if applicable).
No.
Name
Centre for Life Sciences (CeLS), #05-01, 28 Medical Drive Singapore 117456
Website: www.nus.edu.sg/ngs
No.
Name
Page 3 of 5
08/2014/EA/CON/CIC
NUS Graduate School for Integrative Sciences and Engineering
1.
3.
2.
4.
3. Date:
Name & Signature of Supervisor:
SECTION III – FOR OFFICIAL USE ONLY
1. Application is:
□ Approved
□ Not approved
2. Comments:
Authorized Signature:
Authorized Official:
Prof Philip Moore, Executive Director, NGS
Date:
Centre for Life Sciences (CeLS), #05-01, 28 Medical Drive Singapore 117456
Website: www.nus.edu.sg/ngs
Page 4 of 5
08/2014/EA/CON/CIC
THIS MUST BE COMPLETED AND RETURNED TOGETHER WITH YOUR ACCEPTANCE FORM
TO THE RELEVANT DEPARTMENT/FACULTY/SCHOOL/OFFICE ORGANISING OR PROVIDING FACILITIES FOR THE RELEVANT PROGRAMME.
PARTICIPANTS BELOW 18 YEARS OF AGE ARE REQUIRED TO HAVE THEIR PARENT COMPLETE THIS FORM +
EXCLUSION OF LIABILITY & INDEMNITY FORM FOR EVENT
I,
____________________________________
(Name
of
participant)
________________
(Passport/Identity Card No.), hereby declare that I am participating in
from
including the trip to
(where applicable) (collectively,
the “Event”) of my own free will and volition, am aware of and accept(s) the risks involved and in
consideration of being permitted by NUS Graduate School for Integrative Sciences and Engineering,
National University of Singapore to participate in the Event, I, for myself, my successors, personal
representatives and assigns, hereby agree that:
(a)
I will not hold the University, its officers, any of its full-time or part-time staff (including student
assistants), agents or volunteers responsible or liable in any way for, and no right of action shall
arise from, any loss or damage (including, without limitation and to the extent permissible by
law, personal injury, loss of life or property damage) caused by or sustained as a result of
*my/my child’s/my ward’s participation in the Event.
(b)
I will indemnify and keep indemnified, save and hold harmless the University, its officers, any
of its full-time or part-time staff (including student assistants), agents or volunteers against all
losses, claims, demands, actions, proceedings, damages, costs or expenses, including legal
fees, and any other liability arising in any way from my/my child’s/my ward’s participation in the
Event.
Signature of participant:
Name (please print):
Passport/Identity Card No.:
Telephone (Residence):
(Office):
Mobile Telephone:
Fax:
Email Address:
Postal Address:
Date:
*Delete as applicable.
+
Where parents are deceased, a student below 18 years of age should provide the name of a legal guardian or any other person
who has legal authority over, and responsibility for, the student.
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