ERASMUS – Thematic Network Project - MEDINE Travel and Cost of Stay Grants: Payment Form
Payment of Travel and Costs of stay
Ref. No........................(to be completed by contractor) Contract No: 114063-CP-1-2004-1-UK-ERASMUS-TN
EXPLANATION OF PAYMENTS FOR TRAVEL COSTS AND COSTS OF STAY
TRAVEL COSTS
Travel costs cover transport at national and international level. Only actual travel costs can be paid. The following upper limits must be
applied:
Plane: APEX air fare or, if this is not possible, the normal economy fare.
Train: First Class Rail fare
Car: Equivalent of a first-class rail fare for the same distance (maximum of one ticket per car, regardless of the number of passengers)
NB.
1. ALL TRAVEL DOCUMENTS, INCLUDING TICKETS AND BOARDING PASSES MUST BE SUBMITTED TO THE CONTRACTOR.
2. JOURNEYS OF LESS THAN 400 MILES SHOULD BE TAKEN BY RAIL (UNLESS IN AN EMERGENCY OR WHEN A SEA CROSSING IS
INVOLVED). FOR JOURNEYS OF MORE THAN 400 MILES, OR IN AN EMERGENCY OR IN THE CASE OF A SEA CROSSING, AIR
TRAVEL MAY BE USED.
COSTS OF STAY
This budget heading is meant to provide each person participating in Thematic Network activities with reimbursement for subsistence,
accommodation, local and public transport, personal insurance (health insurance) etc. If there is no overnight stay, the amounts are reduced
by 50%. The figures given below (in Euros) are the maximum reimbursable amounts under this heading for the country in which the meeting
or visit is taking place. Costs claimed should be below the maximum whereever possible because of the low level of grant for the network.
The total number of days claimed for should include your day of arrival and day of departure.
Country Maximum in € Country Maximum in €
BE Belgium 150 IS Iceland 183
DK Denmark 179 LI Liechtenstein 174
DE Germany 127 NO Norway 171
GR Greece 113 BG Bulgaria 157
ES Spain 141 CZ Czech Republic 214
FR France 130 EE Estonia 129
IE Ireland 165 CY Cyprus 100
IT Italy 130 LV Latvia 174
LU Luxembourg 143 LT Lithuania 126
NL The Netherlands 148 HU Hungary 136
AT Austria 122 MT Malta 86
PT Portugal 143 PL Poland 227
FI Finland 156 RO Romania 185
SE Sweden 157 SL Slovenia 148
UK United Kingdom 199 SK Slovakia 164
TR Turkey 138
ERASMUS – Thematic Network Project - MEDINE Travel and Cost of Stay Grants: Payment Form
Payment of Travel, Accommodation and Subsistence Costs
Ref. No........................(to be completed by contractor) Contract No: 114063-CP-1-2004-1-UK-ERASMUS-TN
To be completed in English by each person benefiting and returned to the Project CONTRACTOR.
PERSONAL DATA
Surname: ....................................................................................... First name: ..................................................................................................................................
Age: ............................................. Sex: ............................... Nationality: .................................................................................................................................
Home institution: ...........................................................................................................................................................................................................................................
Staff position/student year of study at home institution: ....................................................................................................................................................................
Host institution: .............................................................................................................................................................................................................................................
Objective of the trip: ....................................................................................................................................................................................................................................
Email address: ...................................................................................................................................................................................................................................................
(A) TRAVEL COSTS
Dates of Travel From (place) To (place) Currency Used Travel Costs Travel Costs (EURO)
€
€
€
€
€
TOTAL TRAVEL COSTS (A)
(B) ACCOMMODATION COSTS
No. of nights Rate (per night) Currency Used Accommodation Costs Accommodation Costs
(EURO)
€
€
€
€
TOTAL ACCOMMODATION COSTS (B)
(C) SUBSISTENCE & MEALS
Date Details Currency Used Subsistence Subsistence Costs
Costs (EURO)
€
€
€
€
€
€
€
€
TOTAL SUBSISTENCE COSTS (C)
€
TOTAL AMOUNT CLAIMED: (= total of A + total of B + total of C)
€
AMOUNT CONTRIBUTED BY SENDING INSTITUTION
€
COST CLAIMED
€
COST APPROVED & PAID
ERASMUS – Thematic Network Project - MEDINE Travel and Cost of Stay Grants: Payment Form
Payment of Travel, Accommodation and Subsistence Costs
Ref. No........................(to be completed by contractor) Contract No: 114063-CP-1-2004-1-UK-ERASMUS-TN
METHOD OF PAYMENT
Please arrange payment via the following account:
Name of Account Holder: ..................................................................................................................................
Account Number: ...................................................................................................................................................
Name of Bank: ..........................................................................................................................................................
Address of Bank: ......................................................................................................................................................
Bank Sorting Code: ................................................................................................................................................
Any other reference number:...........................................................................................................................
I confirm that the above information is correct and request payment to be made accordingly.
Signature: .................................................................................................................................. Date .......................................................................................
Please return this form, completed and signed, with all original travel documents and other receipts for accommodation,
subsistence and meals enclosed to:
Alison Paton
Project Assistant
European Office
University Union
Queen's Road
Clifton
BRISTOL BS8 1LN
UK
FOR OFFICE USE ONLY
EURO STERLING CURRENCY IN DESTINATION NATIVE OTHER
COUNTRY: CURRENCY INFORMATION
WOULD CONVERT
AS: