Application form for full time PhD candidates seeking support to attend an International

Conference under Visvesvaraya PhD Scheme for Electronics & IT of DeitY, GoI
Name of the PhD candidate

Name of the Institution

Institute registration/roll no. of the PhD candidate

Name of the Supervisor/Guide

Date of registration in the PhD programme under

the scheme

Expected date of completion of the PhD degree

Total amount of money needed for the International

Travel
in Figures
In Words

Date by which the approval and grant is required

Title of the accepted Research paper

for which the presentation is to be made [ attach the

full paper separately ]

Names of the Authors

[ in sequential order as the names appear in the paper ]

Name of the Conference, for which the travel is

required

[ please provide the conference URL also ]

Conference Venue details

Dates of conference

Paper Presentation Category

Selection process

Oral presentation
Poster presentation
Abstract based
Full paper based

Date of Travel [ to and fro ]

Copy of the Invitation letter sent by the conference

organizers attached

YES
NO

Have you availed travel support under the

Visvesvaraya PhD scheme before

YES
NO

[ If yes, then please provide the reference to the previous

approval and details, e.g., Date etc. ]

Please ensure that the conference for which the

support is sought is covered in the DeitY approved
list of conferences.

[ If the conference does not appear in the approved list please

mention its impact factor, if available and reference (Url, etc.)
taken to justify the impact factor ]

I hereby state that I have read the terms and conditions governing the grant for travel support
and agree to the same.

Signature of the Candidate

Signature of the Guide with stamp

Endorsement by the nodal officer of the institute for the

Visvesvaraya PhD scheme with stamp

Date:
Place:

Date:
Place:

Date:
Place:

The Institute agrees to the terms and conditions for the support. Institute also agrees to issue
The Utilization certificate to the PhD cell, DeitY along with the relevant documents in its support.

Endorsement by Institutional Head with

stamp

Please tick the checkbox whichever is appropriate

Please write NA against the fields, which are not applicable.
Enclosure: Please attach the relevant documents and mention their names here

Date:
Place: