WIOMSA Proposals » MARG-III

PART I: SUMMARY OF THE REQUEST

MARG-III – TRAVEL GRANT

TITLE OF THE EVENT

A. BIODATA

Title

Mr.Ms.Mrs.Dr.Prof.

Family Name

Other Names

Mailing Address

Telephone Numbers

Office Phone

Mobile

Fax

Email Address *

Nationality

Date of Birth

Sex

MaleFemale

Are you a paid member of WIOMSA?

YesNo

Have you been awarded a MARG grant before?

YesNo

If Yes, which one? And when?

Did you publish the supported research project?

YesNo

If Yes, list the publication

Name of your Institution

Head of Institution

Address of your Institution

B. EMPLOYMENT RECORD

Present position

Title of your Current Post

Years of Service

Type of Organisation

Specify Type of organization

C. EDUCATIONAL QUALIFICATION (start with last attended institution)

EDUCATION INSTITUTION 1 NAME

STUDY PERIOD 1

DEGREE OBTAINED 1

MAJOR FIELD OF STUDY 1

EDUCATION INSTITUTION 2 NAME

STUDY PERIOD 2

DEGREE OBTAINED 2

MAJOR FIELD OF STUDY 2

EDUCATION INSTITUTION 3 NAME

STUDY PERIOD 3

DEGREE OBTAINED 3

MAJOR FIELD OF STUDY 3

D. TYPE OF MEETING/ CONFERENCE FOR WHICH SUPPORT IS BEING REQUESTED

Meeting / Conference Type *

If "Other", please specify

Will you present a Paper? *

YesNo

If Yes, then what is the title of your presentation

Name and address of the organizers of the event

Contact person

Contact Telephone

Contact Fax

Contact Email

E: HISTORY OF ATTENDANCE TO MEETINGS/ CONFERENCES

Have you attended any meetings/ conferences in the last 12 months *

YesNo

If Yes, then provide details

Title of the event 1

When Event 1 occurred

Location of Event 1

Title of the event 2

When Event 2 occurred

Location of Event 2

Title of the event 3

When Event 3 occurred

Location of Event 3

F. JUSTIFICATION FOR ATTENDANCE

Description of the meeting/conference, placing it in the broader perspective with reference to its relevance to your research work or your thesis and expected results from your attendance to the event

Justification for Attendance Attachment

G. SUMMARY OF PROPOSED BUDGET

Name of Local Currency

Rate of exchange to US$

Travel (return) between your country and the institution (by air, most economical route)

Per diem

Total Cost

Total support requested from WIOMSA

Source(s) of other support(s)

G. SUPPORTING STATEMENT OF HEAD OF INSTITUTION

This application is endorsed and the facilities of the institution including the accounting services will be provided to the applicant in accordance with the requirements of the MARG Programme.

Name and Title

Position of Head of Institution

Place

Expected departure date (dd/mm/yy) *Please enter expected date of departure from nearest airport

A signed letter to be attached here.

Proposal Submissions

MARG-III – TRAVEL GRANT

PART I: SUMMARY OF THE REQUEST

MARG-III – TRAVEL GRANT

A. BIODATA

Telephone Numbers

B. EMPLOYMENT RECORD

C. EDUCATIONAL QUALIFICATION (start with last attended institution)

D. TYPE OF MEETING/ CONFERENCE FOR WHICH SUPPORT IS BEING REQUESTED

E: HISTORY OF ATTENDANCE TO MEETINGS/ CONFERENCES

F. JUSTIFICATION FOR ATTENDANCE

G. SUMMARY OF PROPOSED BUDGET

G. SUPPORTING STATEMENT OF HEAD OF INSTITUTION

PART II: SUPPORTING DOCUMENTS

Verification