Accounting form for allowance of international guests

Data of beneficiary:

Last name: Click and enter data	First name: Click and enter data

Physical address in country of origin (street, nr. ZIP code, city, country): Click and enter data

Click and enter data

Date of birth:	Gender: female male
please use the format dd.mm.yyyy eingeben

Nationality: Click and enter data

Account information (only for EURO countries)

Acccount holder: Click and enter data

IBAN: Click and enter data	BIC: Click and enter data

Name and address of bank: Click and enter data

Travel – and accommodation costs:

Presented invoices for:	Allowance:

Air fare:	€	€ __________

Train ticket:	€	€ __________

Public transport:	€	€ __________

Accommodation:	€	€ __________

Total:	€	€ __________

Anweisung / Auszahlung des Förderbetrags zulasten FO660-AUS:
(Wird vom BIB ausgefüllt)

Förderbetrag:	€ __________

Datum: __________	Unterschrift:

Only original invoices are eligible