German-Israeli Foundation for Scientific Research and Development
‫הקרן הגרמנית ישראלית למחקר ופיתוח מדעיים‬
Deutsch-Israelische Stiftung fuer Wissenschaftliche Forschung und Entwicklung
Travel Request (for a duration longer than 21 days)
Date: ____________
GIF Grant No.:____________________________________________
Principal Investigator/Traveler: _______________________________
Institution: _______________________________________________
Name of additional Traveler: __________________________________
Relevance to the project for traveler other than the PI:
__________________________________________________________________________
__________________________________________________________________________
Dates of Travel: _____/_____/______ until _____/_____/______ Total number of days: ___
Number of days to be charged on GIF budget: ____________________
Purpose of Travel (please elaborate and justify the need for the length of this visit):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
□ Visit to collaborator's lab/institute (please specify and justify) __________________________
______________________________________________________________________________
□ Meeting w/collaborator in other destination in Israel/Germany (please specify and justify)
______________________________________________________________________________
□ Meeting w/collaborator in a conference in Israel/Germany ________________________
______________________________________________________________________________
□ Other _______________________________________________________________________
_____________
Date
_________________________
Signature – Grantee
For GIF internal use (approval by the scientific department) __________________________
Date: ____________
Main Office: 16c King George St., P.O.Box 7008, Jerusalem 91070, Israel
Tel: 972-2-6233814 | Fax: 972-2-6233769 | E-Mail: [email protected] | Web: www.gif.org.il
Liaison Office: GIF Verbindungsbuero c/o Helmholtz-Zentrum Muenchen, Postfach 1129, 85758 Oberschleissheim, Germany
Tel: 0049-89-3187-3106 | Telefax: 0049-89-3187-3365 | E-Mail: [email protected]