Acceptance of funds for academic staff

I accept the granted funding, under the conditions known to me, and I admit that the IRO has to be informed immediately in writing about the existence and amount of additional scholarships or income.

I agree to submit within 2 months after the end of the sojourn abroad the requested report (hard copy and in electronic form) if applicable, and other requested certificates to the IRO.

In addition, I agree (till cancelled) to the publication of my report, if applicable.

Furthermore, I agree to the dissemination of information on this funding to other scholarship awarding institutions.

Personal information:

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

Organisational unit: Click and enter data

Information about the sojourn abroad and its pre-financing:

Aim of the sojourn:

Sojourn abroad will be pre-financed:

by me

by my organisational unit

Date and signature:

Date:
Signature: