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Culture Documents
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1.
2.
Date of Birth
SC
Gender: Male
ST
Female
Transgender
University/Institutes/Organisation
where the grant is to be
administered
(please provide complete address)
Type of Institution where the
grant is to be administered
Phone no.
Fax:
Email:
Website
Central University
State University
Public Funded Deemed University
ICSSR Research Institute
Other public funded research institute
ICSSR Recognised Institutes
1
Research Projects
(Please tick)
Fellowships
Ongoing
Completed
Seminar Grant
International Travel
Publication Grant
9
If completed, specify
Date of Completion
Report submitted
10
Details of
received
earlier
Yes
No
scholarships
11
12
Name of Instituttion
Period of Award
Declaration
I hereby declare that the entries above and in the enclosed annexures are factually correct and no facts
have been hidden by me.
If any of the above information supplied by me is proved to be incorrect, my application may be
cancelled at any stage of the award.
Place:
Date:
Signature of the Candidate
Annexure/Checklists
1.
2.
3.
4.
5.
Forwarding Letter
(By Head of the Institution/Registrar in University)
The Director,
Research Fellowship (Senior) Division
Indian Council of Social Science Research (ICSSR)
JNU Institutional Area
Aruna Asaf Ali Marg,
New Delhi - 110067
ANNEXURE I
ABSTRACT OF SENIOR RESEARCH FELLOWSHIP PROPOSAL
In case of fieldwork
intensive, specify the scope Less than district level
(Please tick)
Applying under
(Please enclose salary
certificate from employer as
Annexure VI, if applying
under salary protection
scheme)