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___________________________________________________________
Full Name of the scientific event
Duration
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.