Application to host an Academic Visitor Host Name: Attach copy of Visitor’s Passport personal details page and any 1. visa(s) Please circle appropriate answer below: Visitor’s Title/Full name 2: Non-Visa National Visa National Nationality: Visa None AVL Tier 5-SR Institution: Visa type: 3 Institution Address: Status: Postdoc Postgrad Undergrad PG student Male Female Gender: Tel: e-mail: Visit : Dates of proposed visit: Start: End: No. of weeks: Attach two 4 Yes No CV: Yes No If not, why: Documents attached: references Reason for visit: (subject of research, meetings, discussions, etc.) Is accommodation assigned in your Yes No If not, group’s lab/office space? Is your visitor undertaking only his/her Is your visitor being taught and/or learning new Yes No Yes No own research? (Bench fees attract VAT) techniques? (No VAT on bench fees) What dept. facilities are to be used? Could the visitor give a colloquium? Yes No Has residential accommodation been arranged? Yes No Funding : Does the visitor have adequate funding? 5 Yes No Is funding payable from your grant? If yes, Grant Code: 6 £ Level of Bench fees due? Date Administrator consulted: Invoice Address: Name of contact, position, company/ institution, and full address If bench fees are to be waived, please state case in favour of waiver: Please complete the following section only IF:
Application to host an Academic Visitor Host Name: Attach copy of Visitor’s Passport personal details page and any visa(s) 1. Please circle appropriate answer below: Visitor’s Title/Full name Nationality: Visa 2: Non-Visa National Visa National Institution: Visa type: None AVL Tier 5-SR Institution Address: Status: Postdoc Postgrad PG student 3 Undergrad Gender: Male Female Tel: e-mail: Visit : Dates of proposed visit: Start: End: No. of weeks: Documents attached: 4 CV: Yes No Attach two references Yes No If not, why: Reason for visit: (subject of research, meetings, discussions, etc.) Is accommodation assigned in your group’s lab/office space? Yes No If not, Is your visitor undertaking only his/her own research? (Bench fees attract VAT) Yes No Is your visitor being taught and/or learning new techniques? (No VAT on bench fees) Yes No What dept. facilities are to be used? Could the visitor give a colloquium? Yes No Has residential accommodation been arranged? Yes No Funding : Does the visitor have adequate funding? 5 Is funding payable from your grant? Yes No If yes, Grant Code: Level of Bench fees 6 due? £ Date Administrator consulted: Invoice Address: Name of contact, position, company/ institution, and full address If bench fees are to be waived, please state case in favour of waiver: Please complete the following section only IF:
V-7ApplicationtohostAcademicVisitor(Nov-17).docx