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वैज्ञानिक तथा औद्योगिक अनुसंधान परिषद् Council of Scientific & Industrial Research (विज्ञान एवं प्रौद्योगिकी मंत्रालय, भारत सरकार) Ministry of Science & Technology, Govt. of India

सीएसआईआर-एनआईओ, भारत - ढाका विश्वविद्यालय, बांग्लादेश "बंगाल समुद्र विज्ञान की खाड़ी" पर संयुक्त बैठक ढाका, 11-13 मई 2015

Application Proforma for Foreign Visit on Deputation

Council of Scientific & Industrial Research

International Science & Technology Affairs Directorate (ISTAD), New Delhi



  • A) Name of the country(ies)/city(ies) to be visited
  • B) Start Date of the proposed visit
  • B) End Date of the proposed visit
  • C) Purpose of the proposed visit
  • Types of foreign visit
  • 1) Name of the CSIR Lab/Institute Council of Scientific And Industrial Research (CSIR-Hqrs), New Delhi
  • 2) Name of the Applicant anil
  • 4) Email test@csir.res.in
  • 4) Mobile 9953587795
  • 5) Aadhaar No. 325963214563
  • 6) PAN ckiol2563p
  • 7) Basic Pay and Pay Level
    Basic Pay
    11200
    Pay Level
    Level 10
  • 8) Date of Birth 25-11-1993
  • 9) Date of Joining service of CSIR 25-11-2010
  • 10) Nature of Employment Contract/Temp.
  • 11) Date of Completion of Probation/Contract 25-11-2011
  • 12) Date of Superannuation/ completion of tenure 25-11-2050
  • 13) Educational Qualifications (highest only)
  • 14) Area of specialization 14) Area of specialization
  • 15) Visit abroad during the last 3 years ? Yes
  • Visits abroad during last 3 years, if any (Please use additional sheet, if necessary)
    Countries Visited
    Countries Visited
    Purpose of the visit and the programme(s) under which visit(s) was/were made
    Countries Visited Period of the Visit Date Purpose of the visit and the programme(s) under which visit(s) was/were made
    Funding Source
    Funding Source
    Period of the Visit
  • 16) Whether report(s) on previous foreign visit(s) was/were submitted? Please use additional sheet, if necessary Yes
    test_10.pdf (175.35 किलोबाइट)
  • 18) What were the actionable points in the tour report last submitted? 18) What were the actionable points in the tour report last submitted?
  • 19) Has the Action Taken Report (ATR) for the last Tour mentioned above, been submitted to the competent authority? If yes, please provide details thereof. 19) Has the Action Taken Report (ATR) for the last Tour mentioned above, been submitted to the competent authority? If yes, please provide details thereof.
  • Upload photograph
  • Signature of the Applicant with designation, Date & Place
    25-11-2025
    PART A: GENERAL INFORMATION
    • Expenditure Breakup
    Item To be met by CSIR/Lab To be met by Host/Others
    International Airfare International Airfare by CSIR/Lab
    Local Travel (abroad) Local Travel (abroad) by CSIR/Lab Local Travel (abroad) by Host/Others
    Local Travel (domestic) Local Travel (domestic)by CSIR/Lab Local Travel (domestic)by Host/Others
    Registration Fee Registration Fee by CSIR/Lab Registration Fee by Host/Others
    Cash Allowance Cash Allowance by CSIR/Lab Cash Allowance by Host/Others
    Part Cash Allowance Part Cash Allowance by CSIR/Lab
    Visa Fee Visa Fee by CSIR/Lab Visa Fee by Host/Others
    Overseas Medical Insurance Overseas Medical Insurance by CSIR/Lab Overseas Medical Insurance by Host/Others
    Any other Any other by CSIR/Lab Any other by Host/Others
    Total Total by CSIR/Lab Total by Host/Others
  • 2) Ratio of the external funding to the total expenditure 2) Ratio of the external funding to the total expenditure
  • 3) Total amount Envisaged to be spent from CSIR Budget for Foreign Travel
    Budget allocation during last financial year Budget allocation during last financial year
    Actual expenditure during last financial year Actual expenditure during last financial year
    If the actual expenditure is in excess of budget allocation, source from which such excess expenditure has been met If the actual expenditure is in excess of budget allocation, source from which such excess expenditure has been met
    Budget allocation during current financial year Budget allocation during current financial year
    Expenditure up to the month (during current financial year) preceding the month of which proposal is being processed Expenditure up to the month (during current financial year) preceding the month of which proposal is being processed
    Expenditure during corresponding month in the last financial year Expenditure during corresponding month in the last financial year
  • 4) Total amount envisaged to be spent from Lab Reserve Fund (LRF)/ Lab HQrs Reserve Fund (LHRF)
    Amount of LRF/LHRF at the beginning of the last financial year Amount of LRF/LHRF at the beginning of the last financial year
    Expenditure during last financial year Expenditure during last financial year
    Expenditure towards foreign travel during last financial year Expenditure towards foreign travel during last financial year
    Amount of LRF/LHRF at the beginning of current financial year Amount of LRF/LHRF at the beginning of current financial year
    Expenditure up to the month (during current financial year) preceding the month in which proposal is being processed Expenditure up to the month (during current financial year) preceding the month in which proposal is being processed
    Expenditure towards foreign travel up to the month (during current financial year) preceding the month in which proposal is being proposed Expenditure towards foreign travel up to the month (during current financial year) preceding the month in which proposal is being proposed
    In case utilizing LRF/LHRF for training / conference participation, please provide details in NEW Annexure III. In case utilizing LRF/LHRF for training / conference participation, please provide details in NEW Annexure III.
  • 5) Total amount envisaged to be spent from Project Fund (Please enclose sanction document & expenditure statement)
    Project number Project number
    Title of the project Title of the project
    Sponsor Sponsor
    Duration of the project (Start Date) 25-11-2024
    Duration of the project (End Date) 26-11-0024
    Contract value of the project Contract value of the project
    Is there any component towards foreign travel in the project? If yes, what is the amount, and how much has already been spent. Is there any component towards foreign travel in the project? If yes, what is the amount, and how much has already been spent.
  • 6) Whether funding arrangement is as per the purchase order, and covered under the financial guidelines 6) Whether funding arrangement is as per the purchase order, and covered under the financial guidelines
  • 7) Kindly provide last two years visit details duly certified by COFA/ FAO of the Lab. along with the details of the present deputation as per table below
    Period
    Period
    Country Visited
    Country Visited
    Purpose
    Purpose
    Sponsoring Agency
    Sponsoring Agency
    Expenditure Details of the Project (Foreign Travel Component) - Total Allocation
    Expenditure Details of the Project (Foreign Travel Component) - Total Allocation
    Expenditure Details of the Project (Foreign Travel Component) - Expenditure Incurred
    Expenditure Details of the Project (Foreign Travel Component) - Expenditure Incurred
    Expenditure Details of the Project (Foreign Travel Component) - Remaining Balance
    Expenditure Details of the Project (Foreign Travel Component) - Remaining Balance
  • Signature with stamp of FAO/COA
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