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Certificate from the Applicant

___________________________________________________________
Full Name of the scientific event

Duration

: (start date) to (end date)

Venue

Country

___________________________________________________________________
I certify that
1. I have not availed support from SERB/DST during the last three years* under the
scheme.
2. In the event of getting selected, I will submit my claim bills, tour reports and other
details within 90 days from the last date of the event.
3. I agree to abide by the terms and conditions of SERB grant.

______________________________________________________________________

(Signature)
(Name: ______________)
Place:
Date:
* The duration is counted from the date of start of the event attended last and the date of
start of the event one intends to apply.

Benefits of the Event (200 words only)


___________________________________________________________

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