Application Form for Research Publication Scholarship, Graduate Studies, Fiscal Year Of
2
Application Form for Research Publication Scholarship, Graduate Studies, Fiscal year of 2018, Application Round …….
1. Student profile
Name-Surname ...... Student ID...... Faculty ......
Program in ...... Mobile phone no......
2. Publication information
2.1 Research title…………......
......
2.2 Level [ ] National [ ] International
2.3 Type of presentation [ ] Poster [ ] Oral Duration......
Title of Conference ...... Place ......
Organizer...... City/Country ......
2.4 In case publish in Proceeding [ ] Full paper [ ] Abstract
3. Required documents (copy) 4. Estimated Budget
3.1 Conference Document mentioned type of presentation (Oral/Poster)[ ] Application for the conference [ ] Letter of Acceptance
[ ] 3.2 A copy of GS 23 (Thesis/IS Proposal Approval)
[ ] 3.3 A copy of manuscript
[ ] 3.4 Application form from GSMIS
[ ] 3.5 Conference announcement
[ ] 3.6 Proceedings / 4.1 Registration fee ………………………… Baht
4.2 Accommodation ………….Baht/…. Night(s) = ...... Baht
4.3 Transportation ………………………… Baht
4.4 Others (specify) ………………………… Baht
Total ………………………………… Baht
* Student should advance for payment, and can be refunded according to original receipt.
5. Student acknowledgement
[ ] I am a current student of Khon Kaen University
[ ] This research is a part of thesis/IS and approved in accordance with KKU regulations
[ ] I am proposing for others funding sources (name) ...... amount ...... Baht
[ ] I have never received research publication scholarship from Graduate School, KKU
[ ] This is the [ ] 1st [ ] 2nd application of Research Publication Scholarship Signature……………………….…………………. Student (……………………………………..…………)
Date …………………..……………
6. Advisor’s recommendation
[ ] I recommend that all information is true
[ ] Other comments ……………………………………………………………………………………………………………………………………………………………..………
Signature …………………………………………. Advisor
(………..…………………………………)
Date …………………..……………
Committee’s Consideration
Approved …..………………… Baht
Not approved because …………………………………………………………………..…………………………………………………………………………………….
Signature ………………….…………….……….……
(……………………………………..……)
Date …………………..……………
Note (The submission without Letter of Acceptance is acceptable.)
D:\ทุน\ทุนเผยแพร่วิทยานิพนธ์\ใบสมัคร\ใบสมัครทุนเผยแพร่ งบ54.doc