THE MAHARAJA SAYAJIRAO UNIVERSITY OF BARODA
Application form for Deputation to Conference/ Seminar/ Symposia etc..
ABROAD
Office Endorsement Number:
1.
Name of the Teacher
2.
Designation
3.
Department
4.
Faculty/College/Institute
5.
Details of
Conference/Seminar/Symposia etc.
Date:
Name:
Place:
Date (In DD/MM/YYYY Format)
From:
To:
6.
7.
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:
8.
Title of the paper / lecture / talk
(attach invitation letter/letter of
acceptance of the paper along with
one copy of full paper.)
9. Name/s of Author/s (in order as they
appear on the paper.)
10. List of publications in the area of
specialization
11. Estimated Expenditure
(a) Air Fare:
(b) Registration Charges:
(c) Maintenance Charges:
(d) Others:
12. 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.
13. 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.
14. Whether you have attended
International Conference /
YES
NO
Seminar/Symposia etc. under the
If yes, specify the following details
UGC Merged Scheme travel grant
Name:
ABROAD during last three years
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
Department
Dr.
of
/Prof.
/Mr.
/Ms.
_________________,
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.