External Remunerative Activities AND Employment Annual Reporting Form Please complete and submit to your Department Chair by May 1st FACULTY INFORMATION NAME Last| First| DEPARTMENT EXTERNAL REMUNERATIVE ACTIVITIES/EMPLOYMENT May 1st to April 30th (past year) I did not engage in external remunerative activities ERA I engaged in external remunerative activities as detailed below ACTIVITY 1 INSTITUTION Name| Distance from OVC (KMs)| DATES Start| End| Total Days| (dd/mm/yyyy) DESCRIPTION OF ACTIVITIES ACTIVITY 2 INSTITUTION Name| Distance from OVC (KMs)| DATES Start| End| Total Days| (dd/mm/yyyy) DESCRIPTION OF ACTIVITIES ACTIVITY 3 INSTITUTION Name| Distance from OVC (KMs)| DATES Start| End| Total Days| (dd/mm/yyyy) DESCRIPTION OF ACTIVITIES ACTIVITY 4 INSTITUTION Name| Distance from OVC (KMs)| DATES Start| End| Total Days| (dd/mm/yyyy) DESCRIPTION OF ACTIVITIES
External Remunerative Activities AND Employment Annual Reporting Form Please complete and submit to your Department Chair by May 1st FACULTY INFORMATION NAME Last| First| DEPARTMENT EXTERNAL REMUNERATIVE ACTIVITIES/EMPLOYMENT May 1st to April 30th (past year) ERA I did not engage in external remunerative activities I engaged in external remunerative activities as detailed below ACTIVITY 1 INSTITUTION Name| Distance from OVC (KMs)| DATES (dd/mm/yyyy) Start| End| Total Days| DESCRIPTION OF ACTIVITIES ACTIVITY 2 INSTITUTION Name| Distance from OVC (KMs)| DATES (dd/mm/yyyy) Start| End| Total Days| DESCRIPTION OF ACTIVITIES ACTIVITY 3 INSTITUTION Name| Distance from OVC (KMs)| DATES (dd/mm/yyyy) Start| End| Total Days| DESCRIPTION OF ACTIVITIES ACTIVITY 4 INSTITUTION Name| Distance from OVC (KMs)| DATES (dd/mm/yyyy) Start| End| Total Days| DESCRIPTION OF ACTIVITIES