Application form for assistance with travel & accommodation costs.

 

 

Name : ……………..………………………………………………………..

 

Affiliation     : ……………………..………………………………………………..

 

Postion :   Masters Student / Phd Student / Research Assistant / Lecturer

 

Contact Details : ………………………………………………………………..

 

                   ………………………………………………………………..

 

                   ………………………………………………………………..

 

Email:….…………………………………………    Tel Number:……………………………………..

 

 

 

Estimated Travel costs:

Please give a quote for the cheapest train/bus ticket you are able to book: £……………

 

What complimentary funds are available to you?

 

Source          : ……………..………………………………………………………..

 

Amount available    : ……………..………………………………………………………..

 

What is the total amount you are seeking?        £…………………

 

Please enclose a brief explanation of why you are seeking funding.

 

Signature of Head of Department : ………………………………….…………………………

 

Printed Name of Head of Department : ………………………………………………………

 

 

Please return to :  

Mark Westcombe, Management Science, Lancaster University, LANCASTER, LA1 4YX.

Email: mailto:m.westcombe@lancaster.ac.uk     Tel: 01524 59363