OLGA MUEHRER TRAVEL GRANTS - 2019 - FINAL - v2 (2150)

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Contact:

Ms Ulrike Kolander

Bernhard-Nocht-Str. 74
20359 Hamburg
Germany

Tel +49(0)40 42818-402


Fax +49(0)40 42818-400
E-Mail [email protected]

INFORMATION ABOUT THE ‚OLGA MÜHRER TRAVEL GRANT’ APPLICATIONS

The Bernhard Nocht Institute for Tropical Medicine (BNITM) awards a limited number of ,Olga Mührer Travel Grants’
__ of up to 2000 Euro each to individuals from low- and middle-income countries who would like to attend scientific
meetings or training programmes at the BNITM.

Before submitting an application, please read carefully through the following requirements:

1. Applications for an ,Olga Mührer Travel Grant’ to attend a scientific meeting or training programme at the
BNITM will have to please be completed and submitted via Email to [email protected]. The deadline for
this year’s applications is 31 August 2019, midnight CET.

2. ,Olga Mührer Travel Grants’ are awarded to applicants who are citizens of a country classified as low and
middle income by the UN/World Bank. Please refer to the following Country Classification Map to see whether
your country is eligible.

3. Applicants for a travel grant are kindly asked to confirm that they i) do not receive additional travel funding
support from a third party, e.g. from their institution, third-party funding or other stipends, which cover the
same items as the ,Olga Mührer Travel Grant’; and ii) that s/he can meet any remaining cost (if any) needed
to take part in the scientific meeting or training programme.

4. The following documents must be submitted in order to be eligible for receipt of a travel grant:

 Application form for the ‘Olga Mührer Travel Grant’


 Confirmation of participation in the scientific meeting or training programme (i.e. signed ‘Letter of
Acceptance’)

5. The amount of the travel grant may vary depending on the amount of funding the applicant has already
secured by other means and on the travelling distance to the scientific meeting or training programme at the
BNITM. Applicants are asked to select the most economical travel option (e.g. the cheapest flight).

6. The travel grants are awarded to applicants if all documents (as listed under point 4) have been submitted.
Costs for e.g. visa will be reimbursed in cash upon arrival at the Institute.

7. There is no legal claim for receiving an ,Olga Mührer Travel Grant’ by the BNITM.

APPLICATION FORM FOR THE ,OLGA MÜHRER TRAVEL GRANT’


Bernhard Nocht Institute for Tropical Medicine Board of Directors:
Foundation under Public Law Prof. Dr. Egbert Tannich (Chair)
Member of the Leibniz Association
Prof. Dr. Jürgen May
National Reference Centre for Tropical Pathogens
WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research Prof. Dr. Stephan Günther
www.bnitm.de Birgit Müller
Chair, Board of Trustees: State Secretary Dr. Eva Gümbel
2

Personal details
Title:
First name:
Surname:
Country of residence:
Nationality:
Current home address(Street, Post
Box, ZIP Code, City, Country):
Phone (+country code):
Email:

Professional background
Name of current
employer/institution
Faculty/Department
Address of
Employer/Institution(Street, Post
Box, ZIP Code, City, Country)

Application details
I would like to use the ,Olga
Mührer Travel Grant’ to attend the Title of event:…………………………………………………………………..
following meeting/course:
Duration of event: DD/MM/YYYY – DD/MM/YYYY
If yes, please specify:
Have you ever taken part in a
scientific meeting and/or training ☐YES ………………………………………..
programme at the BNITM before?
[Please TICK the appropriate ☐NO ……………………………………….
answer]
……………………………………….
If yes, please specify:
Are you receiving any additional
funding support from a third party ☐YES ………………………………………..
to attend this scientific meeting or
training programme? [Please ☐NO ……………………………………….
TICK the appropriate answer]
……………………………………….
If yes, please specify:
Have you ever received any
stipend, fellowship or grant from ☐YES ………………………………………..
the BNITM before? [Please TICK ☐NO ……………………………………….
the appropriate answer]
……………………………………….
Have you secured funding to cover
the remainder of the cost (if any) ☐YES
needed to attend the
meeting/programme? [Please ☐NO
TICK the appropriate answer]
I have read and understood the privacy statement ☐ You can find the privacy statement here.

Date/Place:………………………… Signature of applicant: ………………………………………………………..

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