Professional Documents
Culture Documents
Proforma - ICPR Publication Subsidy Grant
Proforma - ICPR Publication Subsidy Grant
Proforma - ICPR Publication Subsidy Grant
Publication subsidy/grants
PART – A
(Information about Applicant)
1. Name : ……………………………………………………………………………..
2. Present state of the applicant (If employed with designation and address of the
employer): ………………………………………………………………………….
…………………………………………… ………………………………………..
……………………………………………………………………………………..
…………………………………………....................................................................
3. Address for correspondence: ………………………………………………………
……………………………………………………...
4. Telephone: ………………………….……… Fax:...………………….……………
6. Name of Father:…….……………………………………………………………….
7. Name of Mother: ……………………………………………………………………
8. Gender: ……………………………………
9. Nationality: ……………………………….
10. Category (Gen/SC/ST/OBC/PWD/Minorities): ……………………………………
(Self-attested copy of the Category/Caste/Tribe certificates from appropriate authority to be attached)
PART – B
(Publication details)
12. Note: Before submitting this application, the thesis should be revised, if the
examiners have suggested revision.
13. Details of the financial assistance received from the ICPR, if any, for the
preparation of the thesis/manuscript: ……………………………………………….
14. Details of the financial assistance received from the ICPR (past three years, if
any):…………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
15. Budget Estimate for Publication: …………………………………………………..
16. Checklist of enclosures needed
(i) Copy of SC/ST/ disability certificate, if applicable.
(ii) Copy of manuscript/thesis/proceedings (this will be returned to the scholar)
(iii) Copy of reports of examiners.
(iv) Copies of published paper, if any
N.B. For publication of Doctoral dissertation, application should be submitted within two years of the
award of degree; in case of it is submitted late, it should be indicated what revision has been carried out to
keep it up-to-date in respect of research in field.
PART – C
UNDERTAKING
I certify that the above information is correct to the best of my knowledge and belief. I
also undertake that the publication subsidy/grant given by ICPR shall be utilized for the
purpose.
Forwarding Authority
(in the case of in-service applicant)
(Principal/Registrar/Dean/Head)