3.印度签证表.doc

Proposal for Scientific Exchanges Under the Bilateral Exchange Agreement Between The Chinese Academy of Sciences And The Indian National Science Academy 1. Country to be visited: INDIA 2. Basic Personal Information: Name: Sex: Date of Birth: Place of Birth: Marriage status: Present Position: 3. Address for Correspondence: Address: Phone: Fax: E mail: 4. Brief Bio data: (attachment) 5. Significant Publications (within 10): 6. (a) Duration of visit: (b) Expected date of departure: 7. Program of visit: Name of host Scientists & Institutions Host Professor: Organization: Address: Tel: Fax: Email: 8. Brief plan of research to be carried out/proposed joint project: 9. Passport No.: Date of Issue: Date of Expiry: Place of Issue: Government of India Ministry of Science and Technology Department of Science and Technology Technology Bhawan New Delhi PROFORMA FOR SEEKING SECURITY/POLITICAL CLEARANCES IN RESPECT OF VISITING FOREIGN SCIENTISTS Name of the Institute ----------------1. Name of the visiting Scientist: 2. Father’s Name: 3. Nationality: 4. Country/Organisation to which the visiting scientist belongs: 5. Passport No.(including date of birth and other personal details like married/single etc. ), Photocopy of passport: 6. Date of expiry of the passport: 7. Period of visit to India: 8. Reasons for visit: 9. Places to be visited during stay in India; 10. Whether coming alone or with spouse: Signature (Registrar or Director)