Conference Costs Funding Request Form

Name(Required)

First Last

Email(Required)

NCCR Task(Required)

NCCR Workpackage(Required)

Please note: The costs will be charged to the account of this WP.

Function(Required)

University(Required)

Department(Required)

Name PI(Required)

First Last

Email PI(Required)

Name of event(Required)

Date of event(Required)

Place(Required)

Country(Required)

Website

Notification of acceptance of your contribution(Required)

Max. file size: 64 MB.

Proof of NCCR affiliation(Required)

Program booklet, Poster, Presentation, etc. with at least the NCCR name or logo

Max. file size: 64 MB.

Total costs covered by the WP(Required)

Detailed costs overview(Required)

Max. file size: 64 MB.

PI approval(Required)

Please attach an email from your PI confirming 1) approval of your application and 2) confirming that they are aware of the funding reservations.

Max. file size: 64 MB.

Application deadline(Required)

I confirm that I submit my application at least one month prior to the event.

Contribution(Required)

I confirm that I am making a peer-reviewed contribution to the above mentioned event.

Email to PI(Required)

I am aware that a copy of my application will be sent to the PI indicated above

Further remarks

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