CHAITANYA BHARATHI INSTITUTE OF TECHNOLOGY
Gandipet, Hyderabad – 500 075
Technical Education Quality Improvement Program-II: Sub- Component 1.1
APPLICATION FOR REIMBURSEMENT OF PAPER PRESENTATION EXPENDITURE UNDER FSD TEQIP-II
Name of the faculty:
Designation:
Department:
e-Mail ID:
Mobile No.
4) Type of Event:
Conference / Seminar / Workshop/Training Program
5) Name of Event:
6) Venue of the Event
No. of Days
7. Duration of Event
Date/s :
Paper Title:
Details in Brief:
Date of Presentation :
i) Name of the co-author:
ii) Certificate enclosed:
Yes / No
iii) Principal’s Approval enclosed :
Yes / No
Travelling & financial expenses:
a) Registration Fees
Rs.
b) Travelling Expenses:
Rs.
d) Other :
Rs.
c) Accommodation :
Total :
Rs.
If any Assistance taken from TEQIP:
Recommended & Foreword note by HOD
Training Programmes :
Nos.
This will benefit the Faculty/ Staff members/department in the following way
Paper Presentations :
Nos.
……………………………………….…………………………………………….….
Paper Publications
:
Nos.
……………………………………………………………….…………………………
(Signature of Applicant)
Head of the Department
Checked
Verified & Forwarded
Accountant
Finance Nodal Officer
Cheque No.
Date:
Recommendation by
Co-ordinator (TEQIP-II)
Approved/Not Approved
PRINCIPAL
Payment Receipt
In favor
Received for an amount of Rupees(in words)____________________________________________________________
Date :_____________
Signature of the Receiver_______________________________
Enclose: 1. Bus/Train Tickets 2. Original Receipt 3. Paper Proceedings 4. Brief Report & 5.Participation Certificate.