Schedule-3
(Relating to Sub-rule (3) of rule 4)
Date:-…………………
The Breastfeeding Protection and Promotion Committee,
…………………………………………………..
Sir,
I/we have made this application for the approval of that committee to obtain from
the following manufacturer or distributor for the scholarship or research grant or such
amount as required to organize a professional symposium or conference or to participate
in the symposium or conference.
(a) Name of manufacturer or distributor:
(b) Address:
(c) Description relating to scholarship or research:
(d) Amount required for scholarship or research:
(e) Description relating to professional symposium or conference:
(f) Venue where symposium or conference is held or organized:
(g) Date when symposium or conference is held or organized and duration:
(h) Amount required to organize or participate in symposium or conference:
(i) Description relating to qualifications of applicant:
(j) Address:
Applicant’s:
Signature:
Name: