Office of Global Engagement

Source: https://ge.iitm.ac.in/forms/student-outbound Parent: https://ge.iitm.ac.in/programs/student-inbound/i2mp

Basic Information

Office of Global Engagement - Student Outbound Form

Submission of this form is mandatory to apply for the OGE Travel Grant and to get the credit transfer (if applicable) done through academic courses office.

Basic Information

Full Name*

Roll Number*

Email Id*

Phone Number*

Degree Program*

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Department*

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Year of Study*

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Semester of Study*

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Year of Participation*

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Purpose of Visit*

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Were you nominated by the Office of Global Engagement (OGE) for this visit?*

Yes

Scholarship/ Fellowship availed *

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Host University*

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Country*

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Region*

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Gender*

Male

Female

Other

Faculty Advisor/Supervisor*

Reporting Date

Duration From (tentative)*

Duration To (tentative)*

Feedback (If any)

Other Information

Emergency Contact Informations

Name*

Relationship with Contact Person*

Phone Number*

Declaration for International Travel*

I hereby declare that I am participating in the above-mentioned event/program for the specified duration. During my stay, I will adhere to the laws and regulations of the host country, abide by the guidelines set forth by my academic institution, and conduct myself responsibly and respectfully. I understand the importance of representing my institution positively and will engage in activities that promote academic collaboration and personal growth. I accept full responsibility for my behavior and decisions during my time abroad and assure communication with my academic advisors/designated contacts throughout my experience.

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