APPLICATION for OVERSEAS CONFERENCE LEAVE (FOR Ph.D STUDENT)

APPLICATION FOR OVERSEAS CONFERENCE LEAVE (FOR Ph.D STUDENT)

NOTES:

1. Please complete the form and submit it together with the following supporting documents on (a) and, when applicable, (b) to (f) below.

a)  Conference Brochure/Official handout on conference (full programme should be attached)

b)  Correspondence from organizer pertaining to your participation or invitation to the conference and grant of financial assistance, if applicable.

c)  Confirmation of registration by the organizer.

d)  Correspondence regarding the acceptance of paper.

e)  Copy of the paper/abstract for conference presentation, if any

f)  Documentary evidence of registration fee to be paid.

2. Applications should be submitted to the respective Centre’s administrator at least 4 weeks before the commencement of the conference.

PART I - TO BE COMPLETED BY STUDENT
Name: / Matric No: / Mobile:
Year of Candidature: Year 1 o Year 2 o Year 3 o Year 4 o
QE Confirmation: Yes o No o
Details of Conference (Please attach conference pamphlets)
1. Period of conference: From / to
2. Travelling Date: From / to
3. Title of Conference:
4. Organizer(s)/Sponsor(s) :
Venue :
5. Are you presenting a Paper: Yes o No o
Type of presentation: Oral o Poster o
Has the paper (s) been accepted for *oral/poster presentation? Yes o No o
Details of paper(s) to be presented at conference:
Title(s):
If no, please state reasons for attending the conference
Reason :
6. Financial Assistance
Yes / No
Requesting for ASE financial assistance. / o / o
If no, please indicate the following:
(i) Expenses will be met by the organizer(s) / o / o
(ii) Meeting your own expenses / o / o
(iii) Applied for financial assistance from other sources / o / o
Please specify Source of fund: / Account Chargeable:
If you are requesting for ASE financial assistance, please provide the following details:
Name of A/C Payee
(a) / Registration Fees / $ / (No GST)
(b) / Air Fares / $ / Route
(c) / Accommodation / $ / No. of nights
(d) / Others / $ / Please specify
Total Amount / $
______
Signature of Applicant Date
PART II – TO BE COMPLETED BY SUPERVISOR
Yes / No
Is attendance at conference in any way related with the student’s research areas? / o / o
If Yes, please state details:
Yes / No
I recommend/approve* the grant of financial assistance for conference registration. / o / o
______
Name and Signature of Supervisor Date
PART III - TO BE COMPLETED BY ASSISTANT CHAIR
Yes / No
1. The application of leave is approved. / o / o
2. The grant of financial assistance for conference registration is approved. / o / o
3. The amount of financial support of S$______will be charged to
o / Organiser’s sponsorship
o / Research Centre/Institute
o / Interdisciplinary Graduate School
Comments:
______
Name and Signature of Assistant Chair Date
PART IV – TO BE COMPLETED BY ASIAN SCHOOL OF THE ENVIRONMENT
Yes / No
1. The application of leave is approved. / o / o
2. ASE financial assistance is approved. (if applicable) / o / o
Comments:
______
Name and Signature of Chair Date

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