DEPARTMENTOFSCIENCE&TECHNOLOGY

(SERCDIVISION)
ProformaforapplicationforgrantforholdingNational/InternationalSeminar/Symposia/Conference/Workshopon
subjectsrelatedto"ScienceandTechnology"(Tobesubmittedatleast3monthsinadvanceoftheholdingofthe
event).
INSTRUCTIONS
1.

Restrictyourselftolimitsofcharacterswherevershownwithinbracketagainsteachitem.Donotleaveanyitem
blank.

2.

(I)Enclosuresrequiredpertainingtotheevent(Pleasetickbelowaccordingly)

(a)
(b)
(c)
(d)
(e)
(f)

ListofInternational/National/LocalOrganisingCommittees.
KeynotespeakersList.
Brochures/InformationBooklets/CopyofAnnouncement.
DetailTechnicalProgrammegivingdetailsoftechnicalsessionsandtheirChairmenetc.
TheactionplanforimplementationofRecommendationoftheeventshouldalsobediscussed.
CopiesofclearancelettersthusobtainedfromNodal(Administrative),ExternalandHomeAffairsMinistriesin
respectoftheforeignparticipants/delegateslikelytoattendtheevent.

2.

(II)EventsbeingorganisedbyRegisteredSocietiesinadditionto2(I)abovemustalsoenclosethefollowing
documents:

(a) LocalChaptersoftheSocietyifnotregisteredseparatelyshouldsubmittheirapplicationonlythroughtheir
registeredbody.(Grants,ifapproved,willbereleasedonlyinfavourofmainSociety).
(b) RegistrationCertificateofSociety;
(c) MemorandumofAssociation&Byelaws;
(d) AuditedStatementofAccountsoftheSocietyforpreviousthreeyears.
(e) LatestAnnualReportalongwithSociety'selectedmembers'list.
(f) AuditedIncome&ExpenditureStatementandUtilisationCertificatesinrespectofthegrantsreceivedfrom
DSTduringpreviousthreefinancialyears.
2.(III)EventsbeingorganisedbyPrivateCollegesincludingPvt.Medical&Engg.Collegesinadditionto2(I)
abovemustalsoenclosethefollowingdocuments:
(a) Letter of Affiliation/recognition thus obtained from regulatory bodies viz., UGC, AICTE, Central/State
Universities;
(b) AResolutionpassedbytheGoverningCounciltherebyauthorisingtheHeadoftheInstitutiontoreceivethe
financialassistancefromDST.
(c) AuditedIncome&ExpenditureStatementandUtilisationCertificatesinrespectofthegrantsreceivedfrom
DSTduringpreviousthreefinancialyears.
3.

TheapplicationhastobesubmitteddulycountersignedbyHeadoftheInstitution(incaseoftheCentral/State
Institutions,Laboratories,Universities&Colleges)ORPresident/Secretary(incaseoftheregisteredSocieties).
INCOMPLETE AND APPLICATION NOT SIGNED BY THE HEAD OF INSTITUTIONS OR
PRESIDENT/SECRETARYOFTHEREGISTEREDSOCIETIESWILLNOTBEENTERTAINED.

4.

Please send the completed form alongwith the abovementioned documents to SERC Division
(Seminar/SymposiaScheme),Department ofScienceandTechnology,TechnologyBhavan,NewMeharauli
Road,NewDelhi110016.

DEPARTMENTOFSCIENCE&TECHNOLOGY
(SERCDIVISION)
(PLEASETICKOUTTHEAPPROPRIATEITEM)
1. ACTIVITY

Workshop

2. GEOGRAPHICALCOVERAGE

National

3. BROADSUBJECTAREAS

Engg.SC

4. NAMEOFCONFERENCE NationalWorkshoponDSPSYSTEMDESIGNBASEDONFPGA

5. DATES

FROM03.03.2017

Sasurie Academy of Engineering, Coimbatore

6. VENUE
7.

TO04.03.2017

NAMEANDADDRESSOFORGANISINGINSTITUTION/COLLEGE/SOCIETY
InstituteNameSasurie Academy of Engineering, Coimbatore
DepartmentElectronics and Communication Engineering
AddressNH209,Kariyampalayam,Coimbatore

PIN641653
8.STATUSOF
ORGANISING
INSTITUTE

ProfessionalBody

StateGovt.

RegisteredSociety

MedicalCollege

Pvt.College

University
8.

Pvt.Industry
Others

NAME&ADDRESSOFS.Poonkothai,AP/ECE
CONTACTPERSONSasurieAcademyofEngineering

10.DESIGNATIONOFOFFICIALEMPOWEREDTORECEIVED

:Dr.T.S.Sivakumararan

FINANCIALGRANTS(GRANTSWILLBERELEASEDONLYIN :Principal
FAVOUROFHEADOFINSTITUTIONORSOCIETY)

11.BROADDETAILSOFESTIMATEDEXPENDITURE:(InRupees)
(a) TA/DAforYoungScientists(Indian)5000
(b) TA/DAforSeniorScientists(Indian)7500
(c) Preconferenceprinting(Announcements,abstracts,etc.)3000
(d) PublicationofProceedingsNA
(e) Stationery2000
(f) SecretarialAssistance

NA

(g) LocalHospitality5000
(h) Misc.

GrandTotalRs.

5000

27500

(Note:GrantsifapprovedarereleasedonlytoItems(a)to(d)byDST).
12. ESTIMATESOFPROCEEDINGS:NA
Willtheproceedingsbepriced?
No.ofpages&copiestoprinted

Approximatepriceofproceedings(Rs.):
EstimatedCostofPrinting(Rs.)

Estimatedincomefromsaleofproceedings(Rs.):
13.DETAILSOFINCOME:
Sources

Amount
Amount
Itemsforwhich
Requested
committed/received
grantrequested
__________________________________________________________________________________________
A. FROMOTHERFUNDINGAGENCIES:NA
(A)
(B)
(C)
(D)
B. (a)byRegistration:20000
(b)ByAdvertisement:NA
(d)ContributionbySociety/Institute:NA
Total: 20000

14.FINANCIALASSISTANCEREQUIREDFORMDSTFORTHISCONFERENCENA
Specificitemsofexpenditure

Amount(Rs.)

(a)
(b)
(c)
(d)
____________________________
Total:
15. DETAILSOFPREVIOUSGRANTRECEIVEDBYORGANISINGINSTITUTE,UNIVERSITY,COLLEGE,
SOCIETYFROMDSTINPAST:NA
DST
SanctionNo.&Date
1.

Name
of
(Seminar/Conf.
Journaletc.)

activity AmountSanctioned(Rs.)
Pub.

Pleaseenclosethecopyof
UCfurnishedtoDST

2.
3.

16.DETAILSOFPARTICIPANTSINTHEEVENT:
A.No.offoreignYoungScientists

B.No.offoreignScientists

C.No.ofIndianYoungScientists

D.No.ofIndianScientists

E.No.ofIndianScientsts
TowhomTA/DAbeingoffered

:YoungScientists:
SeniorScientists:

17.INCASEOFINTERNATIONALCONFERENCEKINDLYGIVERESOURCESFORINTERNATIONAL
TRAVELANDLOCALHOSPITALITY
:NA
18.INCASEOFFOREIGNSCIENTISTSAREBEINGINVITEDINDICATEDWHETHERCLEARANCEFOR
THEIRPARTICIPATIONHASBEENOBTAINEDFROM:ReceivedAppliedNA
a.

AdministrativeMinistryoftheorganiser

b.

ExternalAffairsMinistry

c.

HomeAffairsMinistry

19. BRIEFSTATEMENTOFOBJECTIVEOFSEMINARHIGHLIGHTINGITSIMPORTANCEINNATIONAL
CONTEXT(SEPARATENOTESTOBEATTACHED)NA
a.

Reviewstateofart

b.

Formulatespecificprogrammeofaction

c.

Bringoutproceedings/papersinthesubject

d.

Other(Pleasespecify)

20. IS THIS SEMINAR HELD ANNUALLY? IF YES, PLEASE GIVE A BRIEF STATEMENT ON THE
FOLLOWUPOFTHERECOMMENDATIONSOFTHESEMINARHELDINPAST3YEARSNA
21. DETAILSOFPASTEVENTSORGANISEDONTHEPROPOSEDTOPICININDIA.INDICATETITLE,
DATEVENUE&BRIEFDETAILSNA

Signatureofapplicant/
OrganisingSecretary

Place:
Date:

SignatureofHeadofInstitutionOR
President/SecretaryofSociety