PROFORMA PSF X REQUEST FOR THE TRAVEL GRANT TO ATTEND INTERNATNIONAL SCIENCE CONFERENCE, SEMINAR, WORKSHOP AND TRAINING ABROAD 1. Name of the applicant: _____________________________________________________ 2. Designation with grade (BS): _____________________________________________________ 3. Present address (Office): _____________________________________________________ 4. Email: _____________________________________________________ 5. Contact # (Office): __________________________ (Mobile):_______________________________ 6. Date of birth:_________/____________/_________ CNIC #: _______________________________ 7. Field of study/specialization: _________________________________________________________ 8. Title of paper to be presented: ________________________________________________________ 9. Duration and place of research work: __________________________________________________ 10. Has this paper already been published (online/offline)? Yes No 11. Title of the conference/workshop/training: ______________________________________________ ______________________________________________________________________________________ 12. Name, address, phone, fax & email of the organizing agency: ______________________________ ______________________________________________________________________________________ 13. Date, duration and venue of the conference/workshop/training (attach brochure): ____________ ______________________________________________________________________________________ 14. Total assistance requested from Pakistan Science Foundation (Pak Rs.) i. Air fare: ______________________________ (Attach PIA invoice) ii. Registration fee: ______________________________ (Attach documentary evidence) iii. Living expenses: a. Hotel charges: ______________________________ b. Meal charges: _______________________________ Total: _______________________________ 1 15. Provide evidence of financial assistance acquired from other sources (Even if it is nil or under process): i. Conference/training/workshop organizer: ________________________________________ ii. Parent organization: _________________________________________________________ iii. Any other funding agency: ____________________________________________________ 16. Details of previous travel grants availed from PSF: Title of Paper/Conference with dates/venue Travel Grant No. Amount of Grant(s) 17. Justification for participation in international conference/workshop/training as per format at Annex I. 18. Undertaking by the applicant: I hereby undertake and affirm that The information provided is true to the best of my knowledge. The substance of the research paper being presented (as indicated in S.No. 8) above is based on the original research work conducted by me/him in Pakistan. I shall submit travel report and documents for adjustment of accounts within one month after attending the conference otherwise PSF will have the right to blacklist me/him for future travel grant. Signature of Applicant: _______________________ Signature of HoD: _______________________ Official Stamp:_______________________________ Official Stamp: ___________________________ Date: _______________________________________ Date: ___________________________________ 19. Forwarding note (Remarks of Head of the Institution/Vice Chancellor of the University): ______________________________________________________________________________________ ______________________________________________________________________________________ Signature: ____________________________________ Official Stamp:_________________________________ Date: _________________________________________ Note: Incomplete application will not be processed. For completion see checklist at Annex II. 2 Annex-I JUSTIFICATION FOR PARTICIPATION IN INTERNATIONAL CONFERENCE/WORKSHOP/TRAINING 1. What definite objective is to be pursued? (Please give details). 2. What important contribution is to be made? (Please give details). 3. What national interest is to be protected? (Please give details). 4. What scientific/technological/economic benefits are to be achieved? (Please give details). 5. Number of visits made in the past, if any, and the specific benefit achieved by each of these visits (Please mention each visit, dates, sponsoring agency etc). 6. Has the nomination been made by some Government/Semi Govt. organization, or the invitation has been received / arranged directly? 7. Previous achievements or work done related to the present research work. 3 Annex-II GUIDELINES FOR TRAVEL GRANT APPLICATION 1. Application may be sent to PSF 6-weeks prior to the date of conference/workshop/training course. 2. Application should be forwarded through proper channel (duly signed and stamped by the Head of Institute /Vice Chancellor). 3. Applicant must be a regular employee of the Govt. or public sector organization/institution. 4. Only the research paper for oral presentation will be entertained. CHECKLIST Please ensure that following documents/information have been attached with grant request: 1. Justification for participation in International Conferences/Workshops/Trainings (Annex-I). 2. Copy of the acceptance letter from Conference Organizers, clearly mentioning “Oral presentation”. 3. Full copy of the research paper with the names of authors. 4. In case of 2nd and 3rd author, NOC from 1st and the 2nd author (as the case may be) be annexed. 5. CV of the applicant. 6. An invoice from PIA or its agents regarding economy class return air fare for the most direct flight route. Otherwise a certificate from PIA of “no flight operation” on that particular route (Certificate from travel agent is not acceptable). 7. Letter from Conference Organizers as well as from Parent Institution regarding level of funding provided by them, (even if it is nil). 8. A printed copy of conference program/Brochure (containing venue and schedule of charges in respect of registration and accommodation etc). 9. In case of training course, invitation letter and schedule of the training course along with certificate from the parent organization that such facility is not available in Pakistan. 10. In case of Ph.D scholar, certificate from the supervisor that paper is based upon Ph.D research work undertaken in Pakistan and also copy of registration as Ph.D student or MS/M.Phil leading to Ph.D from the university concerned attested by the Head of Department. The following are NOT ELIGIBLE for the travel grant Pakistani Ph.D scholars/Post Doc Fellows currently studying in foreign universities. M.Phil/MS students. Part time/visiting faculty members. Students/faculty member from private sector Universities/Institutions. Papers related to social sciences. Poster presentations. 4