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Grant application
Please, print or type the requested information (please use capital letters)
and cross the appropriate boxes below
See reverse for further information.
First name(s)
female
Surname
Nationality
male
Town
Country
Phone
Fax
I wish to apply for a grant to be used as a contribution towards subsistence costs during my stay at the Institute for Advanced Studies on Science, Technology
and Society (IAS-STS)
in the period from:
until:
I wish to apply for a refund of my travel expenses (to the maximum amount of EUR 300,-):
During my stay at the IAS-STS I will dispose of the following monthly income (e.g. from gainful employment, self-employment, grant, orphan's benefit,
unemployment benefit, sickness pay or other benefits):
...................................................................................................................................................................
...................................................................................................................................................................
...................................................................................................................................................................
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Total monthly amount:
...........................................................................................................................................
I affirm that I cannot pay the full costs of my stay from my own income. I confirm that the above information
is correct and am aware of the fact that incorrect information may result in the immediate termination of my
status as Fellow and in the obligation to refund any grant received.
Signature / date
General
The IAS-STS gives partial and full grants to Fellows who are not able to pay for their living expenses
themselves during their stay at the Institute. Grants amount to a maximum of EUR 1,000. per month.
Mode of payment
In principle, grants can be remitted only to an account at an Austrian bank. In Austria all income is subject to
tax; this also applies to grants. The recipients of a grant are obliged to take sole responsibility for filing any tax
return necessary for the amount received.