School:	كلية:
Ref:	الرقم:
Date:	الموافق:	التاريخ:
SR-F001 CONFERENCE PARTICIPATION APPLICATION

To be submitted along with a hard copy of the conference paper, acceptance letter, a proof of review, and conference program.

Applicant name	Click here to enter text.
School	Click here to enter text.	Department	Click here to enter text.
Paper title	Click here to enter text.
Authors in order	Position	Presenting Author	GJU affiliation	If not specify
Click here to enter text.	Position	☐	☐	Click here to enter text.
Click here to enter text.	Position	☐	☐	Click here to enter text.
Click here to enter text.	Position	☐	☐	Click here to enter text.
Click here to enter text.	Position	☐	☐	Click here to enter text.
Click here to enter text.	Position	☐	☐	Click here to enter text.
Paper type	☐ Full paper ☐ Extended abstract	Peer reviewed	☐ Yes ☐ No
Presentation type	☐ Oral presentation ☐ Poster

conference information

Conference title	Click here to enter text.
Conference dates	Click here to enter text.	Conference location	Click here to enter text.
Organization	Click here to enter text.	ISSN/ISBN	ISSN

requested financial support

☐ Airfare	☐ Per diem allowance	☐ Visa fees	☐ Registration fees: Click here to enter text.
Declaration: I acknowledge that the presented work is authentic, was not presented in other conferences.
Applicant	Signature:
Date

recommendation of the department chair

☐ Approve	Comments:
☐ Decline
Department Chair	Signature:
Date

recommendation of the dean of school

☐ Approve	Comments:
☐ Decline
Dean of School	Signature:
Date

deanship of graduate studies and scientific research – scientific research department

Applicant already participated in conference in the requested semester	☐ Yes ☐ No
Travel allowance for school is available	☐ Yes ☐ No
Scientific Research Officer	Signature:
Date

recommendation of the dean of graduate studies and scientific research

☐ Approve	Comments:
☐ Decline
Dean of GSSR	Signature:
Date