FORM FOR CLAIMING FEES AND TRAVEL EXPENSES We strongly recommend that you type or write in block letters. The signed form and all appropriate receipts can be scanned and sent by email. If you wish to send the documents by regular mail, please save a copy of the documents. Evaluation project/Expert task/Review panel Research council/unit of the Academy of Finland Last name as in passport First name as in passport Male Nationality Date of birth (DD.MM.YYYY) Email Identity number or Tax Identification Number (TIN) Female Home address Place of residence/Postal code/Country Telephone Please fill in all fields below with the complete information regarding your bank connection. Without this information, the Academy of Finland is unable to complete the transfer. NB! The reviewer’s fee is personal and paid to your private bank account only. Bank account number, IBAN if available (IBAN is mandatory for bank accounts in Europe) Name of the bank BIC/SWIFT-code / Clearing code/Routing number Full postal address of bank Please fill in if you are claiming travel expenses. The fees for the review work and draft reviews will be calculated automatically by the Academy of Finland. Travel begun (date) Travel ended (date) Means of transportation and other travel expenses in chronological order. Always justify the use of taxi and private car. Please note that expenses are compensated based on receipts only. Date and signature *) Exchange rates are calculated by the Academy of Finland. Expenses (and currency if other than euro*)
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