# 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\*

Select...

Department\*

Select...

Year of Study\*

Select...

Semester of Study\*

Select...

Year of Participation\*

Select...

Purpose of Visit\*

Select...

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

Yes

No

Scholarship/ Fellowship availed \*

Select...

Host University\*

Select...

Country\*

Select...

Region\*

Select...

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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