PER/5/97
NANYANG TECHNOLOGICAL UNIVERSITY
APPLICATION FOR
OVERSEAS
CONFERENCE LEAVE
WITH FINANCIAL ASSISTANCE
(FOR PhD STUDENTS)
Notes:
(1) Please complete the form and submit it together with the following supporting documents on (a) to (g) below through
your supervisor:(a) conference brochure/official handout on conference (full programme should be attached)
(b) correspondence from organiser pertaining to your participation or invitation to the conference and grant of
financial assistance, if applicable.
(c) correspondence regarding the acceptance of paper.
(d) copy of the paper/abstract for conference presentation.
(e) documentary evidence of registration fee to be paid.
(f) any other relevant documents, which you may deem useful in supporting your application.
(g) one airfare quotation from the NTU appointed agencies (Dynasty Travel International Pte Ltd, Safe2 Travel Pte
Ltd or eSERV Travel)
(2) Your application must reach Asst Chair (Graduate Studies) at least 6 weeks before the commencement of the
conference, or at least 6 weeks before the date that registration/other fees need to be paid (if applicable),
whichever is the earlier.
PART I: TO BE COMPLETED BY APPLICANT
Name:
Citizenship: Singaporean
Please tick here
SPR
Others
(please specify) : __________________________________
if you are a NPGS scholar. If you are not, please leave blank.
Date of Commencement of PhD Studies:_____________
Have you submitted thesis for examination: Yes
Date of Confirmation of PhD Candidature : _____________
No
If no, what is the estimated/expected date of submission: ______
Title of PhD Project:
Name(s) of Supervisor(s):
Details of Conference for oral presentation
Title:
Venue:
Date:
________________________________________ to ________________________________________
Organizer/Sponsor:
Is conference held at regular intervals? Yes
No
If “yes”, please indicate frequency:
Nature of conference participants (e.g. open to members of certain society, nominated by government, etc):
Will proceedings or reports of conference or any papers resulting there from be published? Yes
No
Proposed participation in conference is through:
Invitation
Application
Others (please specify): ____________
As participant of conference, the applicant will:
Read a paper
Date scheduled: ______________________________________________
Preside at a session
Date scheduled: ______________________________________________
Be a panel discussant
Date scheduled: ______________________________________________
Others
Please specify:_______________________________________________
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Details of paper(s) to be presented at conference:
Presentation:
Oral
Poster
(Applicant may request for financial support from the School’s Vote for oral presentation. Poster presentation may be
considered if the applicant has obtained external funding to support his/her participation & it is a premium conference.
Workshop, tutorial and/or tour in conjunction with the conference are to be excluded).
Title(s):
Name(s) of co-author(s), if it is a joint paper:
Has paper been accepted for conference presentation?
Yes
No
Is attendance at conference in any way connected with your consultation/outside work?
Yes
No
If “yes”, please provide details:
Please indicate usefulness of conference to yourself and the University.
Period of conference leave applied for:
Purpose
(a) for travelling to venue
From
To
( b) for conference attendance
(c) for travelling to Singapore
Please indicate whether the conference leave applied for include optional workshop, tutorial and/or tour in conjunction with the
conference.
Yes
No
(If “yes”, please provide details, including reasons for request)
Have you ever been sponsored by the University or funds provided through the University to attend any overseas conference:
Yes
No
(If ‘yes’, please provide details)
Financial Assistance
Please indicate if you are requesting financial assistance from the School’s Vote on the following & note Part II of the application
form (if “No”, please indicate whether the costs will be met by your own expenses, the organizers or you have applied or will be
applying for funds from external sources):
Yes
No
(If “No”, please indicate below
how expenses will be met)
(a) Air passage. If yes, please indicate:
Fare to be incurred: S$ _______________________
Route: _____________________________________
(b) Subsistence allowance
(c) Conference registration fee of $________________
If you are requesting financial assistance from a PI, the PI must sign & indicate the percentage of financial support for airpassage, subsistence allowance and conference registration fee above to be granted to you, and indicate if there is sufficient
fund in the account for this purpose.
______________________________________
Signature of Applicant
_________________ _____
Date
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PART II: TO BE COMPLETED BY SUPERVISOR
I *support / do not support the following subject to University’s guidelines:
(a) Conference leave: Yes
No
•
(b) Financial Assistance: Yes
No
(If “No”, please indicate how expense will be met)
(c) Reasons for conference support:
Note: If the applicant is requesting for financial support from the School’s Vote, his/her Supervisor is required to complete this
section.
I confirm that I and my other research student(s) {applicable to Supervisor with more than 1 research student} will not be
attending the same conference to be funded under the School’s budget. If subsequently, any one of us applied to attend this same
conference using the School’s budget, this application if approved will be rendered invalid and void. Any financial support given
to this applicant will have to be refunded by him/her to the School.
Signature of Supervisor
Date
PART III: TO BE COMPLETED BY ASSISTANT CHAIR (GRADUATE STUDIES) ON BEHALF OF THE CHAIR OF
SCHOOL
(a) I approve the grant of conference leave.
Yes, from _______________________to _______________________
No
(b) I approve the grant of financial assistance :
Yes
No
If ‘yes’, please indicate the items for which financial assistance should be provided:Airfare
per diem
registration
(c) The computation of grant provided is to be based on the normal guidelines: Yes
If “no”, please specify the rates/percentage of subsidy to be provided.
_______________________________________________________
No
(d) Please proceed to charge the amount of financial assistance provided to the following fund:
School’s Vote: ______________________________________________________________________________
Other funds/votes. Please provide information below, and attach correspondences on approval obtained from the relevant
authority for use of fund for conference support for PhD students if the approving authority is not the Dean.
Name of Fund/Vote : _________________________________________________________________________
Account No. (where applicable): ______________________________________________________________
___________________________________________
Signature of Assistant Chair (Graduate Studies)
____________________
Date
* Tick in the appropriate box
**Delete as appropriate
[Updated 1 Sept 14]
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