APPLICATION FOR SHASTRI SCHOLAR TRAVEL SUBSIDY GRANT 2016-17
First Name of Applicant: :
/ Surname:
Title : / Gender:
Name of Applicant’s Institution in Canada:
Mailing Address: / Name of Applicant’s visiting institution in India:
Name and title of contact person:
E-mail:
Telephone:
Applicant’s Mailing Address:
Telephone:
Mobile (if preferred):
Fax:
E-mail: / Applicant’s Permanent Address:
Telephone:
Mobile (if preferred):
Fax:
E-mail:
Communication related to this application should be sent to:
In case you are planning to use your SSTSG fund to bring a faculty member or student from an Indian institution to your Canadian institution, please provide with the following details:
Name of the Indian member
Title
Mailing Address
Telephone
Mobile
Fax
Email / Name of the Indian Institution
Mailing Address
Telephone
Fax
Name/Title of the Topic to be presented: / The Venue of the Event/s:
Date of departure: / Date of return:
This grant will only be awarded to a scholar who is either affiliated with a Shastri Institute member institution or to a scholar who is invited to speak at or work with a Shastri Institute member institution.
Are you affiliated with a member institution? Yes No
Are you invited to a Shastri member institution? Yes No
Travel Budget with detailed breakdown of expenses (please exclude all your expenses related to visa, meal, accommodation, seminar fees, etc):
Return Air ticket: CAD$
Taxi from residence to airport: CAD$
Taxi from airport to residence: CAD$
Any other travel expenses (please specify):CAD$
Total travel expenses: Rs.______and CAD$______
Have you applied for funds from other sources to support your participation to this event? Please detail:
Have you received funds from other sources to support your participation to this event? Please detail:
Reason For Travel:
Description of presentation, research or other activity to be carried out: ( 300 words)
Please describe briefly:
a) Expected outcomes of your proposed travel (300 words);
b) What benefit will it bring to your career, your institution and/or your discipline (400 words)?
C) How your participation to the proposed event will contribute to promoting education cooperation between India-Canada? (500 words)
Detailed Itinerary:
Please check the appropriate boxes on the right indicating that the necessary materials are included with you application.
CV attached
Letter of invitation attached
Proof of residency
Applicant’s Signature / Date