IUBMB Fellowship Programs - Bank Form

IUBMB Fellowship

Name of Awardee *

Name of IUBMB Fellowship

Total Fellowship Award *

USD

Location *

Number of days in Host country *

Bank Account Details

First Name *

Middle Name

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Phone *

Name of Account Holder *As spelled on the bank documents

Bank Name *

Bank Address *

Account Number **IBAN format for non-US banks; *Canadian bank format is branch transit-financial institution-account number

SWIFT / BANK / BIC CODE

ABA Code / Routing Number (US)

*You will need to provide the full mailing address of the branch where the account is if you do not have any of the codes

Please note the possible options for transferring the fellowship are listed below:

The fellowship can be transferred to any account in any country, but there are issues with transferring funds to financially troubled or embargoed countries. A partial list includes Iran, Argentina, and Brazil. In some cases (Cuba, among others) only payments in EUR are feasible.

This is why IUBMB recommends using an account in the hosting country. This could be an institutional account (as long as no overheads are taken), that of the host, that of a friend/relative/lab mate or anyone else the awardee may trust in full. Of course, the awardee may also open a bank account in the receiving country: this is by far the preferred choice.

Also note that the vast majority of small US banks (including most University Credit Unions) do not have a SWIFT code, and this will result in additional charges, that will be detracted from the award. In addition, in the absence of a SWIFT code, the full address of the bank should be provided. Finally, please note that the transfer itself will take a few days (2-10, depending on whether the bank has a SWIFT code or not).

In any case, as specified in the award letter, the IUBMB Treasurer will take care of the transfer not earlier than the date when the awardee will reach the hosting lab, as certified by an email message from the host to treasurer@iubmb.org.

Signature *

By signing this form, you confirm that all the information provided is accurate.

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