/ MINISTERIO
DE ECONOMÍA
Y COMPETITIVIDAD /

APPLICATION FOR AUTHORIZATION OF ATTENDANCETO INIA

ACADEMIC TRAINING

SCIENTIFIC COLLABORATION

AGREMMENT OR CONTRACTNo.______

Ms/Mr ______, with Identification/Passport No.______and address ______and whoseorganization of origin is______.

STATES:

That being necessary, in order to complete her/his academic training/to provide scientific or technical collaboration/to collaborate in the works established by the agreement or contract, to make a stay at INIA in the Centre/Department ______, from the Deputy Directorate General ofResearch and Technology of this Institute.

ThereforeREQUESTS AUTHORIZATION, specifically stating the following:

1.That she/he won´t perceive any remuneration or allowance of any kind from the Institute on account of his/her attendance to the facilities of this Institute.

2. That she/he absolutely excludes, for the present and the future, any kind of legal relationship, and specifically those of administrative and employment nature, with this Institute,based on the authorization of attendance applied for, which can´t be either claimed for the purpose of previous acknowledgements.

3. That she/he exonerates the Institute of any responsibility for illness or injury, in itsfacilities or on transportations to and back, confirmingthisby a declaration of having a health insurance from ______, accrediting itbyaphotocopy of the original document, original that is shown and retired.

4. That she/he agrees to follow the indications from the responsible staff from the Centre or Department______and from the General Services of the Institute, in order not to disrupt the normal development of the work going on, in which she/he is not required to participate.

5. That she/heis aware of not beingobliged to comply with labour regulations and timetables established in the Institute, except for theprohibition of remaining in its facilities outside working hours.

6. That she/he agrees to return the ID card from INIA at the end of the stay.

7. That she/he provides the following documents (tick):

ACADEMIC BACKGROUND

Annex application ID/Passport Registration number Health Insurance

CV or Academic Certification

This documentation may be replaced by the signed Annex of the Education Agreement

SCIENTIFIC COLLABORATION/AGREEMENT OR CONTRACT OR PROJECT No.______

Annex application ID/Passport Health InsuranceCV

 Document certifying the relationship with theorganization

Date and signature

ACCEPTED BY:

THE APPLICANTTHE RESPONSIBLE RESEARCHER

Signed______Signed______

DEPUTY DIRECTOR OF RESEARCH AND TECHNOLOGY

ANNEX TO APPLICATION

TEMPORARY STAY AT THE FACILITIES OF INIA

Duration of stay: From __/___/____ to __/___/____

Activity to develop during the stay:

List of resources necessary for the performance of the stay and justification of availability by the responsible researcher:

Number of simultaneous stays by the responsible researcher: _____

(No more than 3 simultaneous stays are authorized)

Date and signature

THE APPLICANT

Signed______

THE RESPONSIBLE RESEARCHERTHE DIRECTOR OF THE CENTER/ DEPARTMENT

Signed______Signed______