Doc.Mobility - Release Request

Should your fellowship award have been subject to conditions (refer to the award decision), please submit the required documents in the appropriate field below (PDF format).

The payment will be made within 30 working days of sending this form, provided that all requirements are met.

If you encounter any trouble filling in this form, please contact research@unifr.ch.

GRANT INFORMATION
Grant No. *

Example: DM-22-011
(Doc.Mobility-submission_2022-request_No.11)
Grantee's name Grantee's name * First Last
Grantee's email *
Awarded amount (CHF) *
Maximum of 5 digits allowed. Currently Entered: 0 digits.
According to the grant decision
Beginning of the stay/grant Beginning of the stay/grant * / DD / MM YYYY

The start date is always the first of the month.
The award was ... *

The award was ... not conditional conditional

According to the grant decision
Document(s) required for granting *

Attach Files

Multiple file upload allowed - max. 2 MB / file.
PLEASE NOTE: no payment will be made if the requirements are not met.
Comments on document(s), if any
Maximum of 300 words allowed. Currently Entered: 0 words.
ACCOUNT INFORMATION
Bank name *
Bank address Bank address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
IBAN *
Swift
Account number *
Account holder's name Account holder's name * First Last
Account holder as shown on your account records.
This account must be under the name of the fellowship recipient.
Account holder's address Account holder's address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
SEND THE RELEASE REQUEST
Please check to confirm *

Please check to confirm All information provided here is accurate I agree to comply with the conditions for using the Doc.Mobility grant as specified in the Doc.Mobility regulations and the award decision

Doc.Mobility - Release Request

Doc.Mobility - Release Request

GRANT INFORMATION

ACCOUNT INFORMATION

SEND THE RELEASE REQUEST