FIRST NAME FAMILY NAME
REFERENCE AT VR YOUR E-MAIL ADDRESS
In order to ensure a correct execution of the payment it is mandatory to mention the bank account no. and the name of the beneficiary on the back of this form,
other wise the payment may not be carried out.
Please enclose original tickets, receipts and other original invoices.
NAME OF CONFERENCE/MEETING ETC DURATION (DDMM-DDMMYYYY)
AMOUNT IN AMOUNT EXPRESS IN
CURRENCY CURRENCY THE CURRENCY TO BE
SPECIFICATION OF EXPENSES
I declare that my expenses will not be met by another organisation:
Signature * PLEASE COVERT TO APPROPRIATE EXCHANGE RATE
For the VR Administration For the VR Accounts. Dep
DIM 2 KONTO BELOPP
Dim 1 Orgenhet
DIM 3 KONTO BELOPP
DIM 5 KONTO BELOPP
(om annat än yrkat)
GRANSKAD UTAN ERINRAN DIM 6 KONTO BELOPP
ATTEST DIM 7 KONTO BELOPP
TOTALT BELOPP I
PERSONAL DATA FORM
To obtain reimbursement of your expenses, you must complete BOX 1 (back of the document). The rest of this document, BOX 2 must be completed
*this is your first application for reimbursement
*there has been a change in information provided previously (address, bank account, organisation etc.)
Note: If the beneficiary is other than stated under personal data please request the benefyciary (organsiation or company) to send an invoice to the below
BOX II Please, use block letters!
FAMILY NAME REFERENCE AT THE SWEDISH RESEARCH COUNCIL
FIRST NAME E-MAIL ADDRESS
POSTAL CODE, CITY AND COUNTRY
CITIZENSHIP MALE FEMALE DATE OF BIRTH YEAR, MONTH AND DAY
BANK ADDRESS (Incl. Street - Postal Code - City - Country)
BANK CODE e.g.SORT CODE/ABA/BLZ or equivalent SWIFT ADDRESS
BANK ACCOUNT No / IBAN No (see below) TAX IDENTIFICATION NUMBER (TIN):
This is a compulsory information required by the Swedish
fiscal authority, in case of foreign payment concerning
IBAN NUMBER - CONCERNS EUROPEAN CITIZENS ONLY:
European banks have developed a system of International Bank Account Number (IBAN),
which is a standardised method to interpret and control bank account numbers applied to international payments
To secure payment to your European bank account, please inform us about IBAN-number.
If the IBAN-number is not provided it might cause problems with the payment.
Contact your bank for further information on this issue.
PLEASE RETURN THIS FORM TO:
VETENSKAPSRÅDET ( SWEDISH RESEARCH COUNCIL )
Box 1035, SE-103 78 STOCKHOLM