Transnational Access Application Form
The planned visit must be discussed between visitor and host before the application can be considered.
When completed by the Lead Applicant, please return 1 copy of this form to Professor Andrew Martin () for checking eligibility and 1 copy to the host organisation contact person to confirm proposal has been submitted.
The next step is to have an independent evaluation of the proposal, and when confirmed you will receive formal notification by KTH.
Eligibility check by KTH / FOR KTH USE ONLYTitle of Project
Originating organisation
Enter the name of your organisation:
Reference number / Please identify the reference number of the rig from the BRISK website: / KTH Reference number. For completion by KTH
Date of application
Name of proposed lead visitor
Qualifications and position of proposed lead visitor
Other visitor names and qualifications
Nationality of each visitor (for entry visa purposes)
Contact details of lead visitor
Emergency contact
Please provide an emergency contact (family member/friend) for each member of the team who can be contacted in the event of an emergency while you are undertaking a visit to a BRISK partner / Name:
How is this person related to you (e.g. girlfriend, brother etc.)?
Telephone number (including country dialling code):
Address:
Email address:
Will you bring any equipment with you? If yes, please give details.
Proposed start date of visit
Duration of visit, working days
Estimate of costs / Air fare / Train fares / Accommo-dation / Living costs
Approval by manager
Please confirm approval by your manager with his/her name and email
Host organisation
Enter the name of the organisation you would like to visit:
Contact name
Contact details
Objective of work
Maximum 100 words
Brief project description including activities to be undertaken
Maximum 200 words / Be sure to include the novelty and/or added value of the proposed work.
Expected deliverables and/or outcomes such as report or paper
Maximum 100 words
Impact and use of results. Include planned publication(s)
Maximum 100 words
Equipment planned to be used at host
Approval of host organisation
Please confirm the host organisation approval with his/her name and email.
Rev 4 02/10/2014
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