Forms | Office of Global Engagement

Office of Global Engagement Travel Grant Application Form

Please read the program guidelines before submitting the form
This form should only be filled once you complete your travel
If a required field is not applicable to you, please fill it as 'NIL'

Name*

Roll Number*

Date of Birth*

IITM Email*

Alternate Email*

Phone Number*

Passport size photo*

Click to choose a file or drag here (Max Size: 1MB)

Upload only in JPG, PNG

Degree Program*

Select...

Department*

Select...

Name of Faculty Advisor / Guide*

Email of Faculty Advisor / Guide*

Event Name*

Event Type*

Select...

Venue*

Country*

Event Start Date*

Event End Date*

Participation certificate / Acceptance letter from the host university*

Click to choose a file or drag here (Max Size: 1MB)

Upload only in PDF

Travel Expenditure (INR)*

Local Travel Expenditure (INR)*

Travel Insurance (INR)*

VISA Expenditure (INR)*

Registration Expenditure (INR)*

Medical Insurance (INR)*

Stay (INR)*

Food (INR)*

Other Expenses (if any)

Name of Expense

Amount (INR)

Name of Expense

Amount (INR)

Conversion Rate if Applicable

Total Expenditure in INR*

Other Funding Sources*

Please include other funding details received from IITM or external sources for your visit here

Name

Amount (INR)

Name

Amount (INR)

Upload All Expense Bills [Collate to single PDF]*

Including tickets, boarding passes and other funding sources if any

Click to choose a file or drag here (Max Size: 1MB)

Upload only in PDF

Summary of work accomplished during the visit and how the visit abroad has benefitted you*

[max 500 words]

Submit a comprehensive PPT presentation of work accomplished during the visit abroad*

Read the instructions specified in this document to prepare your own PPT

Click to choose a file or drag here (Max Size: 1MB)

Upload only in PPT, PPTX

Submit a five minute video detailing your experiences from the visit and how the visit has been beneficial to you*

Upload the video to google drive and share the link here (Make sure the file permission is set to `anyone with the link`)

Any other remarks you may wish to make

Certification of Information Accuracy*

I certify that (a) the details given above are correct (b) the money received will be used for the purpose for which it is sanctioned, (c) I shall abide by the decisions of the OGE Travel Grant program Committee.