1、Page 1 of 3南 方 科 技 大 学 学 术 会 议 参 会 经 费 申 请 表INTERNAL GRANT APPLICATION FORM FOR ATTENDING INTERNATIONL ACADEMIC CONFERENCES填 写 说 明 ( Instructions) :1. 本 表 仅 适 用 于 学 校 教 授 序 列 人 员 申 请 校 内 经 费 参 加 国 际 一 流 学 术 会 议 。The form is only applicable to internal grant applications made by faculty members for a
2、ttending prestigious international conferences (oral presentation, invited talk, plenary talk, keynote speech, session chair, organizing committee member, etc.).2. 请 填 写 本 表 格 并 提 交 相 关 证 明 材 料 作 为 附 件 。Please complete this form and submit it together with the following supporting documents to Offic
3、e of Research through your Department/School.a) 会 议 邀 请 函 等 证 明 材 料 。Invitation letter and other relevant supporting documents.b) 会 议 官 方 日 程 文 件 。Official program/schedule of the conference.c) 机 票 行 程 信 息 。Flight itinerary (if available at the time of application).3. 请 于 会 议 开 始 前 8 星 期 提 交 该 申 请 。
4、Your application must reach Office of Research at least 8 weeks before the commencement of the conference.第一部分 (PART I - TO BE COMPLETED BY APPLICANT)申请人姓名Name系 (院)Dept./School职 称Appointment电 话Contact No.会议名称Conference Name会议日期Date会议地点Place主办单位Organizer会议网址WebsitePlease tick ( ) the role(s) that you
5、 play in the conference:regular presentation invited talk plenary talk keynote speechsession chair others, please specify 申请者签名Signature of Applicant申 请 日 期Date of ApplicationOSR-20161220Page 2 of 3参 会 对 申 请 者 及 对 学 校 科 研 工 作 的 重 要 性 和 影 响 陈 述 :Purpose of the Trip: please provide some background inf
6、ormation of the conference and state how the conference is related to your research. 经费预算(B udget in CNY) :(1) 机票/交通费(A irfare/Transportation) (2) 注册费( Registration fee) (3) 住宿费( Accommodation) (4) 其他( Others, please specify) 总计(Total) Please indicate if you are receiving a fee/honorarium for the pr
7、oposed trip:Yes NoIf “Yes”, please indicate the amount and the organizationmaking the payment.第二部分 (PART II - TO BE COMPLETED BY HEAD OF DEPEARMENT/SCHOOL)所在系(院)意见:I support the application.I do not support the application.签名 Signature 日期 Date第三部分 (PART III - TO BE COMPLETED BY DIRECTOR OF RESEARCH)
8、科研部意见:I recommend the application with the proposed budget.I recommend the application with a budget of . I do not recommend the application.签名 Signature 日期 Date第四部分 (PART IV - TO BE COMPLETED BY VICE PRESIDENT FOR RESEARCH)主管校领导意见:I approve the application.I do not approve the application.签名 Signature 日期 DatePage 3 of 3Note: Please keep the entire form within 2 pages!