APPROVAL OF TRAVEL AND SUBSISTENCE FOR INTERNATIONAL CONFERENCES, WORKSHOPS, ETC. (use a separate form for each event) Human Potential Network Contract No. HPTN-CT-HPRN-CT-2002-00287 Fax number for reply: +49 521 106 6461 Tel. number for reply: +49 521 106 5039 ---------------------------------------------------------------------------- Title of the event: Place of the event: Web-page (event): Starting date: Duration (days): ---------------------------------------------------------------------------- Is the event directly related to the joint research performed in the network ? Yes/No Is the event at a leading international level ? Yes/No ---------------------------------------------------------------------------- Names of persons attending and their parent organization: Will all the persons named above: a) be members of the research teams of the network ? Yes/No b) play an active role in the event ? Yes/No c) represent and report back to the network as a whole ? Yes/No d) acknowledge the support of the Human Potential Program in their presentations? Yes/No If you answer no to any of these questions, please explain on a separate piece of paper. ---------------------------------------------------------------------------- Costs : Travel (economy fares only) : Subsistence (state also number of days) : TOTAL : ---------------------------------------------------------------------------- Name of Network Co-ordinator: Ulf Rehmann Signature of the Network Co-ordinator Date: ---------------------------------------------------------------------------- (for use by the Commission only) Approved by the Commission within a limit of: Comments: Approved by: Date: