DETAILS
COURSE DETAILS
Course ID:
Course topic:
Course date:
Course location (country AND city):
PERSONAL DETAILS
Title:
Last (family) name in passport:
First (given) name(s) in passport:
Date of birth:
Place (country AND city) of birth:
Passport number:
Passport issue date:
Passport expiry date:
Citizenship:
Address (personal)
Country:
City:
Postcode:
Building number and street name:
I accept that the email address(es) given here can be used for regular communication, including receiving information and updates on the project progress and future courses. Please provide an email address that only you have access to (as the organizers may communicate sensitive and personal data) and that you can check on a regular basis. By default, the 'Email address' will be used for communication, and the organizers request you to use it as well, the 'Alternative email address' will only be used if the communication through the 'Email address' is problematic or the correspondence does not reach the recipient or no reply is received.
Email address:
Alternative email address:
By providing this information, I agree that my mobile phone number may be used for communication on urgent matters.
Mobile phone number:
Phone number:
BANK ACCOUNT INFORMATION
By filling in this form, I agree to provide this banking information to be able to receive and have access to the subsistence allowances for the course. I understand that I am responsible for the accuracy and completeness of the data entered in this form. I acknowledge that the organizers are not responsible for any delay in payments resulting from incorrectly supplied banking information and bank charges resulting from incorrectly supplied information may be deducted from any subsequent payment.
Name of account owner as registered in your bank:
Bank account number or IBAN:
SWIFT/BIC (if the bank does not have SWIFT/BIC, write NA):
Bank account currency:
Please note that funds can only be transferred to a bank account that accepts one of the currencies in the dropdown menu.
EUR-Euro
USD-USA Dollar
AUD-Australian Dollar
CAD-Canadian Dollar
CHF-Swiss Franc
GBP-Pound Sterling
HUF-Hungarian Forint
JPY-Japanese Yen
Bank name:
Bank code (only for banks that do NOT have SWIFT/BIC, if they do, write NA):
Bank address
Country:
City:
Postcode:
Building number and street name:
EMPLOYMENT
Name of current affiliation:
Position/job title:
Affiliation address
Country:
City:
Postcode:
Building number and street name:
OTHERS
VISA
By filling in this form, I accept that it is my sole responsibility to comply with the entry requirements to the country hosting the course, including submitting the visa application, and that failure to do so may result in the rejection of my application and withdrawal of my grant.
Visa needed to enter the country hosting the course: YES | NO
To the best of your knowledge, where (city AND country) is the nearest consulate where you can apply for a visa to the host country, AND what is its estimated distance from your place of residence?
km
Invitation letter requested: YES | NO
I have official, work passport: YES | NO
TRAVEL
By providing this information, I accept that the primary consideration when making travel arrangements will be to choose the most direct route and most feasible itinerary.
Preferred place of departure and arrival:
DIETARY REQUIREMENTS
I have dietary requirements: YES | NO
The organizers will try to provide meals according to the indicated diet to the best of their ability.
EMERGENCY CONTACT
Name:
Relationship with the applicant:
Email address:
Phone number:
REMARKS, INQUIRIES
STATEMENT
I, the undersigned, hereby apply for the course and provide the requested documents in full completeness:
I declare that the documents and information provided are true and correct and I understand that my application may be rejected if the contrary is proven.
I understand that my personal data will be processed solely for the purposes of the implementation, management and monitoring of the project, as part of which the course will be held, and that access to these data will be granted to the extent strictly necessary for the above.
I agree to complete the examination tests and answering questions and providing information as part of the application process. I understand that if I do not respond to the communications and requests from the organizers, the acceptance of my application may be considered null and void and my grant will be then withdrawn.
I understand that the assessment of the applications is impartial and that there is no room for appeal against the decisions of approval or rejection.
I understand that, in case of the acceptance of my application, my absence from the course (if it is not due to reasons beyond my control or if it is not duly justified), any wrongful conduct and lack of participatory and professional commitment may result in the unfavorable consideration of future applications from myself, my country and institution.
I agree to abide by the following ethics clauses and code of conduct. I respect the human rights and data protection rules, and not violate (intellectual) property rights. I acknowledge the zero tolerance in relation to and prohibition of all wrongful conduct (physical abuse or threats of physical abuse, sexual abuse or exploitation, harassment and verbal abuse, as well as other forms of intimidation), which I accordingly avoid. I will respect the other participants, I will not be prejudiced or exclusionary towards them or their cultural practices.
I agree with the statements above YES
If more than one application is submitted, the LAST ONE will be taken into account.
You can submit your application by clicking the "SUBMIT MY APPLICATION" button after you have confirmed agreement with the statement by ticking the checkbox.
After submitting your application you will receive a confirmation email if your application has been received. Please check your incoming emails (in the spam folder as well) and in case you have not received a confirmation mail, please contact us via info@training.ek-cer.hu .