An Integrated Network on Climate Research Activities on Shrubland Ecosystems

Reimbursement Form for Transnational Access Project

Project Title:
Approval number[1]:
Lead scientist:[2]	Name:
Scientist who claim the reimbursement:	Name:
	Institute:
	Address:
Bank account	Bank name
	Postal code
	Street name & number
	Town
	Country
	Account number
	IBAN number
	SWIFT-BIC code

Name of host infrastructure:
Project dates:	Start date:	dd/mm/yyyy	Completion date:	dd/mm/yyyy
Number of days at infrastructure

		Cost	Maximum allowance[3]
Travel cost (original receipt needed)	Ticket Ticket Ticket Other costs	- - - -	- - - -
	A: Total:
Per diem�� xx days � yy Euros	B: Total
Accomodation (original receipt needed)	C: Total
Total cost	A+B+C

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[1] This number is reported in the approval communication letter

[2] The lead scientist indicated here is expected to participate in the campaign a user of the infrastructure.

[3] The maximum allowance is stated in the contract with the access provider