REPORT ON PARTICIPATION IN INTERNATIONAL CONFERENCE/SEMINAR ETC.

BY SCIENTISTS
SUPPORTED BY SCIENCE AND ENGINEERING RESEARCH BOARD: INTERNATIONAL TRAVEL
SUPPORT SCHEME



SERB's Commitment Letter No. & date : SB/ITS/

1. Name of the Applicant :

2. Full address of the Univ./Inst. With Dept. :

3. Category (Sr. Scientist or Young Scientist) :

4. Name of the Event :

5. Place & Date of the Event :

6. Academic Highlights including new development :
presented at the Conference (200 Words)

7. Participants contribution to the Conference (100 Words):



(Information in Detail, wherever applicable is to :
be given in separate sheets)







Date:





Signature



(Name of the Applicant)
(E-mail:
Tel./Mobile No.
SCIENCE AND ENGINEERING RESEARCH BOARD
NEW DELHI

CLAIM SHEET FOR REIMBURSEMENT OF INTERNATIONAL TRAVEL GRANT FOR PARTICIPATION IN
INTERNATIONAL CONFERENCE/TRAINING PROGRAMME


A.

1.
(To be Filled by the applicant)

Name of the applicant :


2.

Full address of the Univ./Institution :


3.


SERB's commitment letter No. and date :


SB/ITS/

4.

Title of the Conference/Training course etc. :


5.

Venue & Date :


6.

Details of Expenditure of Travel :





Date Departure
From
Date Arrival at Mode & Class
of Travel
Name of
Airlines
Ticket
Nos.
Fare Paid
(Actual)


Expenditure on:


7. (a) Economy class Air fare (To & fro) :
(b) Visa charge :
(c) Registration fee (only in case of
young Scientist up to age of 35 years)
(with currency conversion rate
as on date of payment)



Total :




Amount received from all other sources under the following heads:

i. Air fare :
ii. Visa Charge :
iii. Registration fees :

Total :






Certificate

Certified that I have attended the above international scientific event and the particulars furnished above are
correct. I also certify that I have not received travel grants from SERB during the last three year.





Signature of Applicant

Designation & Address with seal
Date

Forwarded by the Director/Registrar/competent Authority:-










Signature

Designation & Address with seal
Date
File No.
Institute / University Account Details
ELECTRONIC CLEARING SERVICE (CREDIT CLEARING) / REAL TIME GROSS SETTLEMENT
(RTGS)
FACILITY FOR RECEIVING PAYMENTS

A. DETAILS OF ACCOUNT HOLDER*
NAME OF THE ACCOUNT HOLDER
(Registrar/Director/Principal/Accounts
Officer /Finance Officer etc.)

COMPLETE CONTACT ADDRESS
TELEPHONE NUMBER/FAX/ EMAIL

B. BANK ACCOUNT DETAILS*
BANK NAME
BRANCH NAME WITH COMPLETE
ADDRESS, TELEPHONE NUMBER AND
EMAIL

IFS CODE OF THE BRANCH
MICR CODE
TYPE OF BANK ACCOUNT
(SB/CURRENT/CASE CREDIT WITH
10/11/13)

COMPLETE BANK ACCOUNT NUMBER
*Information of the recipient Institute/University Only

I hereby declare that the particulars given above are correct and complete.

Signature of the Competent Authority of the Institute
Date:

Certified that the particulars furnished above are correct as per our records.
Date:
Signature of the Authorized Official of the Bank
(With Bank Stamp)
CHECK LIST :


THE FOLLOWING DOCUMENTS ARE TO BE ENCLOSED WITH THE CLAIM BILL. THE CLAIM BILL WILL NOT
BE PROCESSED IN THE ABSENCE OF THESE ENCLOSURES. PLEASE () IN THE BOX IF ENCLOSED WITH THE
CLAIM SHEET.





(i) Original Air Ticket with two clear Xerox copies ( )

(ii)

Original Boarding Passes.

( )

(iii)

A Certificate From Air India indicating the air fare by the shortest route
by economy class.

( )

(iv)

Two Xerox copies of receipt of visa charges.

( )

(v)

Two Xerox copies of receipt of registration fees with the currency conversion rate
as on date payment (needed only for young scientist).]

( )

(vi)

Two Xerox Copies of Certificate of participation at the Conference (which is to be
Obtain from the organizer).

( )

(vii)

Two clear Xerox copies of rail ticket, if any.

( )

(viii)

Tour Report.

( )

(ix)

Document showing receipt of financial support received from other sources, if any.

( )

(x)

The claim-sheet along with all documents must be tagged/stapled property
before-sending it to the department for reimbursement.

( )
B. FOR OFFICE USE ONLY : (This page must not be removed)

File No. SB/ITS/ Name

(i) Decision of the Committee : Approved Rs.

(ii) Support towards travel : Sources (a)
(b)
(c)
Amount Rs.



Total Fare

(i) Air Fare
(a) From & back Rs.

(b)

(ii) Train Fare

From _& back Rs.

(iii) Visa Fees : Rs.

(iv) Registration Fees : Rs.







Grand Total Rs.





For Consideration for reimbursement of Rs.