Request for funding
in duplicate
an das Referat II/6 der Universitätsverwaltung /
Foundation: /

- please select -Regensburger UniversitätsstiftungPro ArtePro Uni PRExlibrisLucia und Dr. Otfried EberzMedien und ZeitgeschichteHelga und Erwin HartlAngela Schötz-Keilholz

(e. g. Pro Arte, Pro Uni PR, Lucia und Dr. Otfried Eberz, Helga und Erwin Hartl)
Faculty: / Faculty for- please select -Catholic TheologyLawBusiness, Economics, Management Inform. SystemsMedicinePhilosophy, Art History, History and HumanitiesPsychology, Education and Sport ScienceLanguages, Literature and CulturesMathematicsPhysicsBiology and Pre-Clinical MedicineChemistry and Pharmacy
Applicant:
Contact/person responsible: / Phone:
E-Mail:
Specific field:
Type of academic event:(e. g. seminar, symposium, research/work stay, etc.)
Topic of academic event:
Expected participants:(undergraduate/graduate/doctorate students, professors, officials from politics and business)
Date and place of academic event:
Requested grants total: / € / Annotationfor foundation:
Amount granted:
for
(if apportioning is possible) / traveling expenses:
€ / daily allowances:
€ / additional costs:

Short summary of the academic event:
Not to be filled by the applicant:
Bemerkungen:
Votum Universität:

Name(s), university/country, position/specific fieldand significance of visiting professor(s):

Requested grants:

(If amount exceeds payment guidelines, please give reasons on separate sheet.)

Name

/ traveling expenses / daily allowances(max. 120 €/day) /

additional costs

/

Total

/

/

0,00€

/

/

0,00€

/

/

0,00€

/

/

0,00€

/

/

0,00€

/

/

0,00€

/

/

0,00€

/

/

0,00€

/

/

0,00€

/

/

0,00€

Additional costs:

/

0,00€

/

0,00€

Total

/

0,00 €

/

0,00 €

/

0,00 €

/

0,00 €

Specification of costs for other academic events:

(e. .g. no visiting scholars are invited.)

Costs for

/ amount

Total

/

0,00€

Will the academic event be documented?

Yes

No

Have further grants of other foundations/institutions been applied for?

No

Yes

if yes:

what foundation/institution?

to what amount? €

were they granted? €

(if applicable add letters of refusal)

Significance and status of the academic event:

Regensburg, ______

(signature)

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