טופס Travel Request (Excluding Graduate Students) – ENG להורדה, הדפסה ומילוי מקוון

Form Name: Travel Request Form Excluding Graduate Students

Purpose of the Form:
This form, known as the "Travel Request Form Excluding Graduate Students," is used by individuals associated with the Technion - Israel Institute of Technology and the Technion Research & Development Foundation Ltd. (TRDF) to request approval for traveling abroad on duty. The form is designed for various categories of travelers, including faculty, research staff, Technion employees, TRDF academic staff, and students (excluding graduate students who have a separate form). The primary objective of this form is to seek approval and funding for international travel related to research, academic activities, conferences, professional visits, research collaborations, and substitute lecturing.

Sections and Required Information:
1. From: (Traveler's Details)
- Unit
- Rank/Position
- Internal Phone number
- I.D. number

2. Departure and Return Details:
- Departure date
- Return date
- Country of destination

3. Purpose of the Journey:
Specify the purpose of the trip, including both dates and locations, by choosing one or more of the following options:
- (A) Scientific/professional training (for a short period)
- (B) Participation and/or presentation at a conference
- (C) Professional visit
- (D) Research collaboration
- Substitute lecturer (if applicable, specify days and hours of lecture)
- Course
- Date of examination

4. Funding Declaration:
Declare whether the traveler will receive funding or hosting for accommodation, tickets, or other expenses from sources other than Technion. The traveler must sign and date this declaration.

5. Bank Account Details (for those not receiving a salary from TRDF/Technion):
- Bank name
- Branch number
- Account number

6. Approvals:
- Approval by the Head of Department (with a date)
- Approval by the Executive Vice President for Academic Affairs / Managing Director (with a date)
- Approval by the Executive Vice President for Research (with a date)

7. Remarks:
Provide any additional remarks or comments related to the travel request.

8. Detailed Travel Budget:
- Flights expenses (to be paid directly to the travel agent)
- Ground transportation expenses (including traveling to and from the airport)
- Conference registration fees (indicate if TRDF will cover)
- Hotel expenses (number of nights)
- Per Diem for hotel days in different categories of countries
- Car rental expenses (up to a specified amount per day)
- Other expenses

9. Sources of Funding:
Indicate the source of funding for the trip, including options such as the Advanced Study Fund (KEREN HISHTALMUT), Per Diem Days, Airfare, or Other (with specific details).

10. Requested Amount:
- From Research account (with the budget supervisor's signature and sum)
- From Research account (if applicable, with the budget supervisor's signature and sum)
- Other sources of funding (with the authorized signatory's signature and sum)

11. EC Budget and Tax Information:
Specify tax charging information for the HECHZERIM account, if necessary.

12. Research Coordinator's Approval:
Include details of funding entities, line numbers in the payment commitment, and the research coordinator's signature.

13. TRDF Comptroller's Approval:
The TRDF comptroller's signature and date for approval.

This form must be submitted at least one month before the travel date and should include all necessary signatures and documentation to prevent delays in processing the application.