Office of International Relations IIT Kharagpur Shri Gopal Rajgarhia International Programme (SGRIP) Scheme 3: International Student Scholarship Program Application No:________________ Visitor(s) Details*: Name(s) and affiliation Visit duration Activities undertaken: Check List: Claim Form One page report Form no 10F Tax residency certificate Travel tickets Boarding passes All bills duly signed FORM Table 1: Overall Expenses Approved Final Name and Actual Amount Approval Remarks A/C # of Expense (INR) (INR) (INR) By Host payee Sl No. Head To be filled up To be filled For IR Faculty/Dean To be filled by Host up by Host Office Use IR up by Host Faculty Faculty Faculty 1 Local Travel Local 2 Hospitality 3 Honorarium 4 Contingency TOTAL
Office of International Relations IIT Kharagpur Shri Gopal Rajgarhia International Programme (SGRIP) Scheme 3: International Student Scholarship Program Application No:________________ Visitor(s) Details*: Name(s) and affiliation Visit duration Activities undertaken: Check List: Claim Form One page report Form no 10F Tax residency certificate Travel tickets Boarding passes All bills duly signed FORM Table 1: Overall Expenses Sl No. Head Approved Amount (INR) To be filled up by Host Faculty Actual Expense (INR) To be filled up by Host Faculty Final Approval (INR) For IR Office Use Remarks By Host Faculty/Dean IR Name and A/C # of payee To be filled up by Host Faculty 1 Local Travel 2 Local Hospitality 3 Honorarium 4 Contingency TOTAL
SGRIP%20Claim%20Form%20Schemes%203.docx