Request for travel allowance

* mandatory

Personal Data

Form of address *

Academic title

Surname *

Last name *

Gender *

Date of birth *

Birthplace *

Nationality *

Contact Details

Address for correspondence *

E-Mail-Address *

Telephone (with prefix) *

Employment at the University of Passau

Department/ Faculty *

Chair/ Institution *

Position *

Extent of position *

Status *

Since when? *

(Month/ Year)

Details of the congress, conference, summer school, workshop or similar

Exact name *

Internet address of the event *

City *

Country *

(German designation for statistical purposes if possible)

Start of Event *

End of Event *

Arrival date *

Departure date *

Was your submitted event contribution accepted? (Active participation at the event is a prerequisite for funding, cf. attachment no. 1) *

Yes, the contribution was accepted

No, the contribution was not accepted

A confirmation is attached

A confirmation will be provided later

A decision on the application can only be initiated once the confirmation is available.

What type of contribution was submitted? *

(Presentation incl. duration, as far as known/ poster presentation etc.)

Application justification *

(Significance of the trip for the current work, future plans and importance for the department)

Have you applied for grants for the trip at other institutions or is such an application planned? *

Yes, an application has been made

Yes, an application is planned

No, an application to other institutions has neither been made nor is planned

Costs

Travel costs

Euro

Participation fee

Euro

Accommodation

Euro

How much do you estimate the total cost of the trip to be? *

Please indicate when, if applicable where and in what amount grants for the trip are/were applied for. Otherwise, please explain why no applications have been made or are planned. *

Documents to be submitted

Please submit all required documents in PDF format as one file: Confirmation of acceptance of presentation or poster; proof of active participation (with specification: presentation/poster); letter of invitation (guest speaker, chairperson), if applicable.

[Note that the file name must contain your name so that we can assign the file.]

Declaration of consent for data processing

I consent to the processing of my data by the University of Passau. The legal basis for this consent is Art. 6 para. 1 sentence 1 lit. a DSGVO. A transfer to third parties, as far as they are not involved in the selection process themselves, is excluded. In principle, my data will be processed until my consent is revoked. My personal data will be deleted after 6 months at the latest if I do not receive a travel allowance. I can revoke my consent to the University of Passau at any time for the future without affecting the lawfulness of the processing carried out on the basis of the consent until the revocation. I can find additional information on data processing in the section Responsible, Data Protection Officer and Data Subject Rights in the Privacy Policy of the University of Passau. *

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