Acceptance of funds for research activities abroad for students

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 or otherwise to pay back the funds already received until then.

In addition, I agree (till cancelled) to the passing on to fellow colleagues or 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 and account information:

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

Date of birth:	Gender: female male
Date format dd.mm..yyyy

Nationality: Click and enter data

Address: Click and enter data

Email address: Click and enter registration number@students.vetmeduni.ac.at

Owner of the account: Click and enter data

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

Austrian bank institute: Click and enter data

Date and signature:

Date:
Signature:

Anweisung des Förderbetrags: (Will be filled in by IRO)

zulasten FO660-FAK, Stipendien und ähnliche Förderungen: Gesamt € ______________
1. Rate:€ _________	am __________

2. Rate:€ _________	ab __________	Unterschrift: