Personal Data

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					                                                                      PERSONAL DATA FORM
                                                                      DATE:
            Please provide your personal data as follows:                                                                    Please, use block letters!
            FAMILY NAME                                                                                                      REFERENCE AT THE SWEDISH RESEARCH COUNCIL




            FIRST NAME                                                                                                       E-MAIL ADDRESS



            HOME ADDRESS



            POSTAL CODE, CITY AND COUNTRY



            CITIZENSHIP                                                                         MALE                FEMALE   DATE OF BIRTH YEAR, MONTH AND DAY




            Bank information
            BANK NAME



            BANK ADDRESS (Incl. Street - Postal Code - City - Country)



            SORT CODE/ABA/BLZ or equivalent                                                                                  BANK CODE



            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 remuneration.

                                                  TIN:




            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

            within Europe.
            To secure payment to your European bank account, please inform us about actual IBAN-number.
            In a near future there might be problems with payments within Europe if the IBAN-number is not available.

            Contact your bank for further information on this issue.




10/8/2011                                                                      23804d4c-8c5d-4f51-a004-d66adf1b5873.xls                                          Version1LN Personal Data

				
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posted:10/9/2011
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