Travel abroad application

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Polska wersja

Personal data

Academic title:

Firstname:

Lastname:

Status:

Status - other:

Unit:

Citizenship:

I have a Polish Card

Telephone number:

E-mail:

Information about the trip

Name of the host institution:

Destination country:

Destination city:

Purpose of the trip:

Description of purpose of the trip:

Is the trip within a framework of a partnership agreement?:

Partnership agreement:

Date of departure:

Date of return:

Is a private stay planned as part of a business trip:

Number of days spent privately:

Travel costs

Not applicable

Purchase method:

Means of transport:

Route:

Cost:

Currency:

Funding source:

Stay allowances

Not applicable

Number of days:

Amount of per diem:

Currency:

Total:

Funding source:

Travel allowance

Not applicable

(applies to the transfer in the destination from the airport/airport/port to the place of accommodation and back and is equivalent to 1 stay allowance)

Amount of the allowance:

Currency:

Funding source:

Accommodation

Not applicable

Settlement method:

Number of days:

Amount of per diem:

Currency:

Total:

Accommodation price:

Currency:

Funding source:

Registration fee/conference fee

Not applicable

Important: Information on students, doctoral students and contractors in projects

Persons not employed by the Nicolaus Copernicus University in Toruń are required to attach an additional document "DECLARATION OF THE TAXPAYER" to the invoice for the registration fee. The form is available here: https://www.umk.pl/en/research/travel/forms/TAX_DECLARATION_for_student__doctoral_student_and_civil_law_contract.docx

Amount according to the invoice issued to the NCU data:

Currency:

Funding source:

Others expenses

Not applicable

Type of expense:

Amount according to the bill:

Currency:

Funding source:

Total expenses

Advance

By applying for an advance, you undertake to settle the advance received within 14 days of returning to the country. At the same time, you authorize Nicolaus Copernicus University in Toruń to deduct any unsettled advance from your next salary or scholarship payment.

Not applicable

What the advance payment is to be made for?

stay allowances

accommodation

commuting allowance

In what form the advance is to be paid?

collecting cash at the Bank Millennium, 17 Szosa Chełmińska Street, Toruń

wire transfer to a bank account in PLN

wire transfer in the currency assigned to allowances in the destination country

Type of identity card:

Series and number:

Number of account in PLN:

Foreign currency account number with IBAN:

SWIFT: