Passau
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International Visiting Scholar Programme of the Faculty of Arts and Humanities __________________________________________________________________________ _______________________ Funding request for scholars invited as part of the International Visiting Scholar Programme of the Faculty of Arts and Humanities To the Dean's Office, Faculty of Arts and Humanities 1) Inviting party (chair/professorship/facility or service of the University of Passau): Contact person: Telephone extension: E-mail address: 2) Given name and family name of the invited visiting scholar: Academic degree: PhD Date and place of birth: 30 of December 1978, city of Syzran, Russia Nationality: russian Address: RUA GREGORIO MAQUENDE, 59, JARDIM ARMAÇÃO, SALVADOR, BAHIA, BRAZIL E-mail address: [email protected] Telephone number: (5571)99681819 Sending HE institution: Universidade Federal da Bahia (UFBA) Partner university of the University of Passau? Yes No EU Member State? Yes No Duration of stay (14 days minimum): From Until Will the invited party require use of the faculty's visiting scholars' office? Yes No Has food and lodging been arranged? Please provide details: Yes No Will the visiting scholar be accompanied by family members? Yes No Visiting scholar's bank account details Bank: Account no.: Sort code: IBAN: BIC: 3) Type of course (lecture, seminar, block course, excursion, research project, other):
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International Visiting Scholar Programme of the Faculty of Arts and Humanities_________________________________________________________________________________________________
Funding request for scholars invitedas part of the International Visiting Scholar Programme of the Faculty of Arts and Humanities
To the Dean's Office, Faculty of Arts and Humanities
1) Inviting party (chair/professorship/facility or service of the University of Passau):
Contact person:
Telephone extension: E-mail address:
2) Given name and family name of the invited visiting scholar: Academic degree: PhD
Date and place of birth: 30 of December 1978, city of Syzran, Russia
Nationality: russian
Address: RUA GREGORIO MAQUENDE, 59, JARDIM ARMAÇÃO, SALVADOR, BAHIA, BRAZIL
E-mail address: [email protected]
Telephone number: (5571)99681819
Sending HE institution: Universidade Federal da Bahia (UFBA)
Partner university of the University of Passau? Yes NoEU Member State? Yes NoDuration of stay (14 days minimum): From Until Will the invited party require use of the faculty's visiting scholars' office? Yes NoHas food and lodging been arranged? Please provide details: Yes No Will the visiting scholar be accompanied by family members? Yes NoVisiting scholar's bank account details Bank:
Account no.: Sort code:
IBAN: BIC:
3) Type of course (lecture, seminar, block course, excursion, research project, other):
Course title:
Number of teaching hours: contact hours per week
Will ECTS credits be awarded for the course? Yes, indicate number: credits NoDoes the course include an examination? Yes NoDegree courses for which the course is suitable:
Enclosed: visiting scholar’s chronological CV (note: required for approval).
Additional information or comments:
Date: Signature: _______________________________________________________
International Visiting Scholar Programme of the Faculty of Arts and Humanities_________________________________________________________________________________________________
To be completed by Faculty Administration
Returned to service/facility due to: missing information/form incomplete
CV not enclosed
The request has been approved.
The agreed remuneration amounts to €____________ plus travel expenses in the amount of
€500.00 (EU) or €750.00 (non-EU), resulting in a total of €_____________.
(Remuneration may not exceed €1,500.00 per visiting scholar)
Passau, ___________________ Signature: _____________________________________________
To be completed by Section V/1
Visiting scholar contract, payment instruction and copy of the application form received.
