IAS CMD Chapter Funding Request form

IAS CMD Chapter Funding Request form

Please use the form for following type of funding request

New Chapter starting subsidy
Chapter event support funding

Date Submitted*

GeoCode*

This is your IEEE chapter number. It either starts with SBC or CH.

Chapter Name*

Please write the chapter name in full. Please dont use abbreviations

Chapter Contact Person*

Chapter Contact email address*

Chapter Contact Phone Number

Amount Requested*

Please indicate dollar amount requested in US Dollars

Select or enter value

Other Approved Amount

Only fill this field out if the amount requested is not listed in the previous field.

Type of Request*

If requesting money for a new chapter- please upload copy of IEEE chapter formation letter. For event funding please include proposal and copy of email stating CMD approval.

Select

Number of Chapter Members

Payment Method*

Please provide the required details in subsequent section which ever is applicable to based on the payment method submitted here

Select

Payments to India

Any payments going to a chapter/individual in India must be sent to the local IEEE section and the section will disperse the funds to you. Please be sure to include your MICR and IFSC numbers- we cannot process your request without this information. Transfers are made at the end of each month and can take another week or two for the section to release the funds. Please contact your section's treasurer for information regarding your payment after six weeks of your submission.

MICR - India Only

IFSC - India only

Wire Transfer

Please fill out the information below to receive money via wire transfer- please be as specific as possible.

Bank Account Name

Bank Name

Bank City

Bank State

Bank Country

SWIFT/BIC

Bank Account #

Special Instructions

Concentration Banking Account Transfers

Please fill out the bank account name and CB account number (also known as HOP #) below

Concentration Bank Account Number

Concentration Bank Account Name

Complete mailing address

IMPORTANT INFORMATION

IEEE Society grant money must be deposited or transferred to a bank account in the name of the IEEE IAS Society Chapter or the IEEE Section. Funds cannot be transferred or sent to an individual personal account, or to a business account.

File Attachments*

Please attach relevant documents. If its a chapter/SB chapter starting subsidy attach the chapter formation document received from petitions. For all other type of funding request, program budget and/or program sponsorship flyer and/or a detailed program proposal is required.

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