Department of Science & Technology
and Biotechnology, Government of West Bengal

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Science Popularisation

1. Proposed Programme Details:

Programme Type *
Programme Title *
Duration *
Tentative Dates *
To
Thrust Area *
2. Programme Location:


District Name *
Address*
3. Institute Details:


Institute Name*
Legal Status *


Registration no.*
Registration Year *
Date of Memorandum of Association.*
Date of Rules and Regulations *
Date of Last renewal receipt *


4. Budget:


Total Budget *
Grant Expected *
Organisation Contribution *

Fund Expected from Other Organization with Name *
5. Participant Details:


Target Groups*


Expected Number of participants *
Expected Number of Resource Persons*
Objective Details (300 words) *


6. Bank Details of fund receiving of Organisation : *

Bank Name *
Branch *
Account Holder Name *

Account Number *
IFSC *
Account Type *
PAN/TAN No *
Earlier Grant received *
Details / Order no. of earlier grant received from DSTBT/ WBSCST in last three Financial Years *

7. Programme Co-ordinator Details:

Name *
Designation *
Mobile No. *

Email-ID *
D.O.B *
Organization Department *
8. Upload Signed Scan Copy of Complete Form (pdf). (File limit less-than 20 MB)
(file name must be of Programme Coordinator's name):

Upload Pdf File *
   Please, verify you're relevant field before submission .