APPLICATION FOR REIMBURSEMENT OF PAPER PUBLICATION EXPENDITURE Name of the faculty member: Designation: Department: e-Mail ID: Mobile Type of Publication: National / International No. Name of Publisher: Name of the Journal: Date of Acknowledgement : Date of Submission : Details of Paper i) Title of the paper: ii) Name of the co-author: iii) Letter of acceptance enclosed: YES / NO Date of Acceptance Details of financial expenses: a) Script handling Charges: Rs. b) other Expenses: Rs. c) Total amount paid: Rs. (Enclose Payment Receipt/Proof) d) Date of Payment: e) Mode : Page No. ISSN/ ISBN/ Publication Volume No. ACCN No. Date. Issue No. Month of Issue. Recommendation by I, hereby certify that I have not taken any amount for the above expenses from any source. (Signature of Applicant) signature of HOD Verified Forwarded Recommended Approved Accountant Finance Nodal Officer Co-ordinator PRINCIPAL (TEQIP-II) Expenditure Receipt Cheque No._____________ Date: ____________In favour _____________ ______________________________ Rs. /-(Rupees______________________________________________________________________only) Received Ch.No. for Rs. /- Date :_____________ Signature of the Receiver_________________________________
APPLICATION FOR REIMBURSEMENT OF PAPER PUBLICATION EXPENDITURE Name of the faculty member: Designation: Department: e-Mail ID: Mobile No. Type of Publication: National / International Name of Publisher: Name of the Journal: Date of Submission : Date of Acknowledgement : Details of Paper i) Title of the paper: ii) Name of the co-author: iii) Letter of acceptance enclosed: YES / NO Date of Acceptance Details of financial expenses: a) Script handling Charges: Rs. b) other Expenses: Rs. c) Total amount paid: Rs. (Enclose Payment Receipt/Proof) d) Date of Payment: e) Mode : Page No. ISSN/ ISBN/ ACCN No. Publication Date. Volume No. Issue No. Month of Issue. I, hereby certify that I have not taken any amount for the above expenses from any source. (Signature of Applicant) Recommendation by signature of HOD Verified Accountant Forwarded Finance Nodal Officer Recommended Co-ordinator (TEQIP-II) Approved PRINCIPAL Expenditure Receipt Cheque No._____________ Date: ____________In favour _____________ ______________________________ Rs. /-(Rupees______________________________________________________________________only) Received Ch.No. for Rs. /- Date :_____________ Signature of the Receiver_________________________________
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