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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