กลุ่มภารกิจสนับสนุนบัณฑิตศึกษา Graduate School, Chulalongkorn

advertisement
กลุม
่ ภารกิจสนับสนุนบัณฑิตศึ
กษา
Graduate School, Chulalongkorn University
Application Form for Overseas Academic Presentation Scholarship Option II
for Graduate Student’s and Postdoctoral Fellow’s Publication
1. Personal Information
I, Mr./Mrs./Miss………………………………….….Last Name……………………………..…...………...…
Nationality……………………………………….. Passport Number ……...………………………………….
 Master’s  PhD  Higher Graduate Diploma  Graduate Diploma Student ID...…………………..……….
 Postdoctoral  Industrial Postdoctoral  Senior Postdoctoral Fellowship Contract started …..…………
Program/Department …………………………………....Faculty……………………………………………...
Contact Address ………………………………………………………………………………………………..
Contact Number ……………………………….... E-mail …………………………………………………….
would like to apply for Overseas Academic Presentation Scholarship Option II for Graduate Student’s and
Postdoctoral Fellow’s Publication. The information is as follows:
1) Approved Thesis/Research Project Title ……….……………………….…………………………………...
…………………………………………………………………………………………………………………..
2) Thesis/Research Advisor ……………..……………………………………………………………………..
3) Have papers published/accepted/with minor revision in academic journals in ISI/SCOPUS databases
(First author with Chulalongkorn University Affiliation) before graduation or end of the fellowship as
instructed in the scholarship guideline:
 ≥ 1 paper in ISI/SCOPUS database for PhD in Humanity/Social Science Area/ Master’s degree/ Higher
Graduate Diploma/Graduate Diploma
 ≥ 3 papers in ISI/SCOPUS database or ≥ 2 papers in ISI/SCOPUS database with Q1 ranking for PhD in
Science Area
 Postdoctoral and Industrial Fellow  ≥ 2 papers in ISI/SCOPUS databases /year
 1 paper in ISI/SCOPUS databases in Q1/year
 ≥ 3 papers in ISI/SCOPUS databases/2 years
 Senior Postdoctoral Fellow  ≥ 3 papers in ISI database/year  ≥ 2 papers in ISI database in Q1/year
Paper 1) Title: ……………………………………………………………………………………………….....
………………………………………………………………………………………………………..
Journal Title: …………………………………………………………………………..…………… in
 ISI with impact factor ………
 SCOPUS Q…… (Q1, Q2, Q3, Q4) of SJR
in Category …………………………………………………………….. (Choose the best one)
 Published in year………… vol. ………… Page....................
 Accepted to publish or
 Accepted with minor revision on (DD/MM/YY)……………
Paper 2) Title: ……………………………………………………………………………………………….....
………………………………………………………………………………………………………..
Journal Title: …………………………………………………………………………..…………… in
 ISI with impact factor ………
 SCOPUS Q…… (Q1, Q2, Q3, Q4) of SJR
in Category …………………………………………………………….. (Choose the best one)
 Published in year………… vol. ………… Page....................
 Accepted to publish or
 Accepted with minor revision on (DD/MM/YY)……………
Paper 3) Title: ……………………………………………………………………………………………….....
………………………………………………………………………………………………………..
Journal Title: …………………………………………………………………………..…………… in
 ISI with impact factor ………
 SCOPUS Q…… (Q1, Q2, Q3, Q4) of SJR
in Category …………………………………………………………….. (Choose the best one)
 Published in year………… vol. ………… Page....................
 Accepted to publish or
 Accepted with minor revision on (DD/MM/YY)……………
4) Conference/Symposium Title ………………………………………..………..…………………………….
…………………………………………………………………………………………………………………..
5) Hosting Organization ………………………………………………………………………………………..
6) Venue …………………………………..……………………………………………………………………
7) Period …………………………………………………………………………………………...…………...
8) Title of Paper to be presented …………………………………………………………………………...…..
…………………………………………………………………………………………………………………..
 Published /Accepted Paper as indicated in Number 3 in Vol. ………...
 Other papers as  first author
 co-author
 Never be presented in international academic conference/symposium
9) Type of Academic activities in the Conference/Symposium  Oral Presentation
 Poster Presentation
10) Conference/Symposium Website …………………………………………………………………………..
11) Attached Documents
11.1) Evidence related to papers indicated in Number 3
i)  All manuscript/full paper stated in Number 3 or letter(s) of publication acceptance
ii)  Evidence showing that journal(s) in ISI/SCOPUS databases
iii)  Evidence showing quartile (Q) ranking of journals from SJR/ISI website
11.2) Evidence related to Conference/Symposium
i)  Letter of Conference/Symposium acceptance showing to be a part of the Oral/Poster
Presentation (Failure to submit the letter before payment claim, the payment will be canceled if this letter is
not shown)
ii)  Details involving the conference/symposium (daily program, registration rate etc.)
iii)  Abstract presented at the overseas academic presentation
iv)  A manuscript or full paper of academic presentation to be provided in case of that the
academic presentation is different topic from Number 3
v)  Expenses approximations within the amount of financial support
(Signed)………………………………………..Applicant
(…………………………………………)
Date ……………….…………………...
Remark An applicant must submit a complete application form, including the documents for support consideration, to Graduate
School via his/her program and faculty at least 30-days before departure date to the conference/symposium.
Thesis/Research Advisor’s Comments
Please comment the quality of the thesis/research including the importance of the Conference/Symposium
that your student/postdoctoral researcher will attend ………………………...……………………………..…
……………….………………………………………………………………………………………………….
…………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………..
I hereby certify that the applicant is  a current student
 a current postdoctoral fellow under the
scholarship/fellowship.
 Accepted/published journal or submitted with minor revision in international journal in
ISI/SCOPUS databases before graduation in Number 3
(Signed)……………………………………..Advisor
(…………………………………………)
Date ……………….…………………...
Department / Program or Interdisciplinary Director or Head’s Comments
(Graduate School will support 100%)
..…………………………………………………………………………………………………………………
……………………………………………………………………………………………..……………………
(Signed) ……………………………………………....
Director or Head of Department/ Interdisciplinary Program
(……………………………………………………..)
Date ………………………………..
Expenses approximation for Overseas Academic Presentation Scholarship Option II
I, Mr./Mrs./Miss ……………………………………………………………………………………………......
 Master’s  PhD  Higher Graduate Diploma  Graduate Diploma Student ID...…………………..……….
 Postdoctoral  Industrial Postdoctoral  Senior Postdoctoral Fellowship Contract started …..…………
Program/Department …………………………………....Faculty……………………………………………...
Conference/Symposium Title ……………………………………...…………………………………………...
…………………………………………………………………………………………………………………..
Conference/Symposium Period ……………………………………………..………………………………….
Items
1. Registration Fee as Charged: ………………………..(local currency)
 PhD student/Postdoctoral fellow: not over than 18,000 THB
 Master’s/Higher Graduate Diploma /Graduate Diploma student: not over than 15,000 THB
Currency Exchange Rates ………………………THB/1 ……………
2. Round trip Airplane Transportation Fees as charged in Economy Class
 PhD student/Postdoctoral fellow: not over than 30,000 THB
 Master’s/Higher Graduate Diploma /Graduate Diploma student not over than 16,000 THB
3. Daily allowance and accommodation not over than 3 days: …………days
 PhD student/Postdoctoral fellow: 4,000 THB/day for 3 days but not over than 12,000 THB
 Master’s/Higher Graduate Diploma /Graduate Diploma student 3,000 THB/day for 3 days
but not over than 9,000 THB
(In case that the registration fee inclides accommodation, allowance is 1,500 THB/day)
Total Amount of Expenses; not over than
 PhD student/Postdoctoral fellow
60,000 THB
 Master’s/Higher Graduate Diploma /Graduate Diploma student
40,000 THB
Amount/THB
(Signed)………………...……………………..Applicant
(…………………………………..…)
ส่งกลุม
่ ภารกิจคลัง พัสดุ
และงบประมาณ
Graduate School, Chulalongkorn University
Expense Claim Form for Overseas Academic Presentation Scholarship Option II
for Graduate Student’s and Postdoctoral Fellow’s Publication
I, Mr./Mrs./Miss ………………………………………………………………………………………………………......
 Master’s  PhD  Higher Graduate Diploma  Graduate Diploma Student ID...…………………..………………….
 Postdoctoral  Industrial Postdoctoral  Senior Postdoctoral Fellowship Contract started …..……………………
Program/Department …………………………………....Faculty……………………………………………...................
Contact Number ………………………………………... was awarded Overseas Academic Presentation Scholarship
Option II for Graduate Student’s and Postdoctoral Fellow’s Publication, which took place
in........................................................................................................ from date……………… to ………………
while I  am a current student/postdoctoral fellow
 graduated/finished the Postdoctoral contract.
Now, I already attended and wish to claim the expense payment as the following items:
 For Master’s/Higher Graduate Diploma/Graduate Diploma student: in the amount of not over than 40,000 THB
1. Registration fees as charged; not over as 18,000 THB
………………. THB
2. Daily allowance and accommodation; not over 12,000 THB (Only 4,000 THB/day for ….. days)
(In case that the registration fee includes accommodation, allowance is 1,500 THB/day)
………………. THB
3. Airplane Transportation Fees as charged in Economy Class:
not over than 30,000 THB
………………. THB
Total
………………. THB
 For PhD student/Postdoctoral fellow: in the amount of not over than 60,000 THB
1. Registration fees as charged; not over as 15,000 THB
2. Daily allowance and accommodation: (Only 3,000 THB/day for ….. days)
(In case that the registration fee includes accommodation, allowance is 1,500 THB/day)
3. Airplane Transportation Fees as charged in Economy Class:
not over than 16,000 THB
Total
………………. THB
………………. THB
………………. THB
………………. THB
The following documents are included.
 1. Registration Receipt and included with the one of these documents
1.1 In case of paying via a credit card, enclose Credit card invoice
1.2 In case of paying via a bank transferring, enclose Bank transfer slip
1.3 In case of paying at the conference, enclose the information of Currency Exchange Rates
issued by the Bank of Thailand, one day before departure.
 2. Airplane Ticket Receipt of Economy Class or E-ticket and also boarding pass
 3. Accommodation Receipt issued by the hotel
 4. Payment Certificate for Daily Allowance
 5. Transportation Report
 6. Overseas Academic Presentation Report
(Please check all 6 documents before submitting your payment claim)
I prefer the Graduate School to pay in the name of  Mine (Scholarship Recipient)
 My thesis/dissertation advisor and also cross a line with  A/C PAYEE ONLY  & CO. (If not specify, the
Graduate School will pay in the name of the recipient and cross a line with “A/C PAYEE ONLY”.
(Signed) ……………………………………….. Recipient
(……………………………………………..)
Date …………………………………………
Thesis/Dissertation Advisor’s Comments ………………………………………………………………………………...
…………………………………………………………………………………………………………………….……….
(Signed) ……………………………………….. ..Advisor
(……………………………………………..)
Date ………………………………………...
Payment Certificate for Overseas Academic Presentation Scholarship Option II
for Graduate Student’s and Postdoctoral Fellow’s Publication
Written at the Graduate School, CU
Date …………………………………………….
I, Mr./Mrs./Miss…………………………………. Last Name …..………………………………….…
Address ………………………Road………………………..District………………………………………….
Province………………………………………….Zip Code ………………Country…………………..............
I already received scholarship money from Graduate School as these following items.
Items
1. Registration Fees as charged
 18,000 THB for PhD student/Postdoctoral fellow
 15,000 THB for Master’s/Higher Graduate Diploma/Graduate Diploma student
Currency Exchange Rates …………………THB/ 1 ……..
2. Daily allowance and accommodation for not over than 3 days: ……….. days
 4,000 THB/day for PhD student/Postdoctoral fellow
 3,000 THB/day for Master’s/Higher Graduate Diploma/Graduate Diploma student
(In case that the registration fee includes accommodation, allowance is 1,500 THB / day)
3. Airplane Transportation Fees as charged in Economy Class
not over than  30,000 THB for PhD student/Postdoctoral fellow
 16,000 THB for Master’s/Higher Graduate Diploma/Graduate Diploma student
Total Amount of Expenses; not over than
 60,000 THB for PhD student/Postdoctoral fellow
 40,000 THB for Master’s /Higher Graduate Diploma/Graduate Diploma student
Amount / THB
Total Amount in Word (…………………………………………………………………)
I hereby certify that I asked for actual payment claim as shown in the Transportation Report.
(Signed) ……………………………………….. Recipient
(…………………………………………..)
(Signed) ……………………………………….. Payer
(…………..……………….……………..)
Transportation Report for Overseas Academic Presentation Scholarship Option II
for Graduate Student’s and Postdoctoral Fellow’s Publication
(Attachment to Payment Claim)
Date………………….……………..………..………….
I, Mr./Mrs/Miss……………………………. Last Name…..…………………………………...………
 Master’s  PhD  Higher Graduate Diploma  Graduate Diploma Student ID...…………………..………………….
 Postdoctoral  Industrial Postdoctoral  Senior Postdoctoral Fellowship Contract started …..……………………
Program/Department …………………………………....Faculty……………………………………………..................,
have received a support for Overseas Academic Presentation Scholarship Option II for Graduate Student’s
and Postdoctoral Fellow’s Publications that the conference/symposium was held at the country of
……………………….. and city/state of ………………. I departed from Thailand on an airline flight No.
………… and a travel route of ………….. ……. …………………………….. (city-to-city) with a departure
time of………, and took a return flight from …………………… (city) with an airline/airway flight No.
………… and a travel route of ………….. ……. …………………………… (city-to-city) with a Thailand
arrival time of………. Total period of presentation is for …..days ……hours with the travel details as
following:
Departure
Date and Time
Arrival
Date and Time
Travel Details
Signed…………………………………… Recipient
(……………………………………………..)
Note Please record each day from the day of departure until your return to Thailand
Overseas Academic Presentation for Overseas Academic Presentation Scholarship Option II
for Graduate Student’s and Postdoctoral Fellow’s Publication Report
1. Mr./Mrs./Miss………………………………….…. Last Name…..……………………...…………………
 Master’s  PhD  Higher Graduate Diploma  Graduate Diploma Student ID...…………………..………………….
 Postdoctoral  Industrial Postdoctoral  Senior Postdoctoral Fellowship Contract started …..……………………
Department …………………………………………Faculty ……………………………………………, have
received a support for Overseas Academic Presentation Scholarship Option II for Graduate Student’s and
Postdoctoral Fellow’s Publication Report for
 Oral Presentation
 Poster Presentation
Academic Presentation Title……..………………...………........................……………………………..…….
…………………………………………………………………………………………………………………..
Name of Conference/Symposium ………………….…………………………….…………………………….
…………………………………………………………………………………………………………………..
At (city) …………..…………………..…..…………Country ……………..….…..…………………………..
From (date) …………………………………to ………………….……..………Total Days …………………
Conference/Symposium Report (Type in the following assigned topics)
2. Details of conference/symposium
2.1 Topics of conference/symposium programs (Main topics and sub topics)
2.2 Participants (number, country etc.) and conference/symposium style
2.3 Academic Presentations in the conference/symposium
- Comments on the oral presentation by guest/invited speakers (Ex. interesting topics)
- Report on the recipient presentation and presentation’s outcome.
- Comments on recipient presentation by other participants
2.4 Academic important issues granted from the conference/symposium.
3. Summary and benefits granted from the conference/symposium
3.1 Academic progress on research or thesis/dissertation
3.2 Problem solving methodology for research or thesis/dissertation
3.3 Continuation from research or thesis/dissertation (if applicable)
4. Other suggestions or comments that would be benefits for public
……………...……………………………………………………………………………………………...……
……...…………………..……………………………………………………….………………………………
……...…………………..……………………………………………………….………………………………
5. The recipient will share the knowledge and expertise gained from the conference/symposium or
presentation by a mean of
 Oral presentation
 Seminar
 Others, please specify ………………………….……….
within 6 months after the end of the conference/symposium and will report the outcome of the
procedure to Graduate School within 1 month after the distribution, and will also report the publishing
outcome of accepted manuscript/full paper in a journal or proceedings within 1 month after acceptance.
(Signed)…..……………………………………….. Recipient
(……………………………………………..)
Date ………………………………………....
6. Advisor’s Comments
………………………….…………………..…………………..…………………..…….……………..………
……..………………………….…………………..…………………..…………………..…………………….
.……………..………………………….…………………..…………………..…………………..……………
The department will support the recipient to share the knowledge and expertise gained from the
conference/symposium.
(Signed)…….…………………………………….. Advisor
(……………………………………………..)
Date ………………………………………...
7. Department / Program or Interdisciplinary Director or Head’s Comments
………………………….…………………..…………………..…………………..…….……………..………
……..………………………….…………………..…………………..…………………..…………………….
.……………..………………………….…………………..…………………..…………………..……………
(Signed) ……………………………………………....
Director or Head of Department/ Interdisciplinary Program
(……………………………………………………..)
Date ……………………………………
8. Dean’s Comments
………………………………………………………………………………………………………………..…
……………………………………………………………………………………………………………..……
…………………………………………………………………………………………………………………..
(Signed) ……………….……………………… Dean
(………………………………………..)
Date …………………………………...
Download