Erasmus Grant Allocation Receipt Form
Please complete using BLOCK CAPITALS and return it to firstname.lastname@example.org or fax to
The Erasmus Team,
International Office, University of Warwick
Coventry CV4 8UW, UK
To be completed upon receipt of your grant allocation and returned to us as soon as possible.
THE FINAL VERSION OF FORM WILL BE EMAILED TO ALL STUDENTS AND PUT ON WEB ONCE THE
GRANT ALLOCATION AMOUNT FOR 2011/12 HAS BEEN CONFIRMED.
This is to certify that:
has received the Erasmus grant allocation to the sum of :
Euros or Sterling
The above named
Acknowledges receipt of the mobility grant funded by the Commission of the
European Communities within the framework of the ERASMUS programme.
Understands that the grant amount received has been calculated using the dates
provided to the University of Warwick on their arrival form at the rate of €225 per
Agrees that if the dates of their placement changes and they do not remain on their
Erasmus placement for the length of time that they have previously indicated, they
will be liable to re-pay any monies owing to the University of Warwick.
(Student Signature) (Date)