Upon receipt of the final report form, your travel expenses will be paid. Please provide your bank details (if different to the account already provided) below for the Fellowship funds to be transferred. *Note: Receipts that are issued per e-mail, such as flight tickets, may be sent as an e-mail or PDF to . All other receipts, for example subway tickets or taxi receipts must be sent as original hardcopies. Please send your original receipts to: Central Coordination EHDN Universitätsklinikum Ulm Oberer Eselsberg 45/1 89081 Ulm Germany Name of account holder: Adress of account holder: Name of bank: Address of bank: IBAN: BIC: Account Number: Branch sort code: EHDN-FEP Application Grading Form (to be filled out by reviewer) Name of applicant: Name of EHDN-FEP reviewer: Please grade the application using the following scoring system: NO: 0 YES: 1 Criteria Applicant’s intention to be engaged in Huntington’s disease clinical practice or research in the future
Upon receipt of the final report form, your travel expenses will be paid. Please provide your bank details (if different to the account already provided) below for the Fellowship funds to be transferred. *Note: Receipts that are issued per e-mail, such as flight tickets, may be sent as an e-mail or PDF to . All other receipts, for example subway tickets or taxi receipts must be sent as original hardcopies. Please send your original receipts to: Central Coordination EHDN Universitätsklinikum Ulm Oberer Eselsberg 45/1 89081 Ulm Germany Name of account holder: Adress of account holder: Name of bank: Address of bank: IBAN: BIC: Account Number: Branch sort code: EHDN-FEP Application Grading Form (to be filled out by reviewer) Name of applicant: Name of EHDN-FEP reviewer: Please grade the application using the following scoring system: NO: 0 YES: 1 Criteria Applicant’s intention to be engaged in Huntington’s disease clinical practice or research in the future