Application Form For Contingency (Study-Cum-Travel) Grant: Annexure VII
Application Form For Contingency (Study-Cum-Travel) Grant: Annexure VII
Application Form For Contingency (Study-Cum-Travel) Grant: Annexure VII
Note: Application to be addressed to Member Secretary, ICHR 35, Ferozeshah Road, New Delhi -
110001
1. Name
(Block Letters)
4. Educational Qualifications
(Beginning with School-leaving examination)
5. Title of the research work for which grant is being sought (Block Letters)
6. (i) Date of starting the proposed work (in case of Post-Doctoral/independent applicants)
(ii) Date of registration with the University (attach a copy of the University notification in case of M.Phil/
Ph.D. applicants)
Nole: Please also fill the enclosed statement of intended research and biodata.
STATEMENT OF INTENDED RESEARCH
9. Estimate of expenditure for which grant sought (detailed breakdown, with justification, if possible)
10. Languages known:
5. Publications
(Attach separate sheet, if necessary).
6. Languages Known
(Also specify mother tongue)
7. (i) Whether the applicant belongs to SC/ST/OBC Physically challenged category; if so, a certificate
may be produced to this effect.
(ii) Whether the applicant has/had applied for financial support elsewhere for the same research
proposal. If so, particulars may be given.
Date:
DECLARATION
1. The statements and particulars furnished in this form are true to the best of my knowledge.
2. I agree to abide by the rules of the ICHR regarding award of contingency (Study-cum-travel) grants. I
shall fulfil all the requirements of the award, and should the grant awarded by the ICHR be not properly
used, I undertake to refund the same to the ICHR.