IUBMB Tang Education Fellowships - Report Form

Project Title

Name of Fellowship holder

Email Address

Dates and Location of Fellowship

Describe the Results Achieved or Expected

Any Publication(s) that may Result? *YesNo

Provide Details

Acknowledgment of Receipt of the Fellowship should be made in any Publication(s) that arise(s) as a Result of the Visit. *AgreeDisagree

Description of Program Undertaken and Significance of Outcomes Achieved *

No file chosen

List of Colleagues Worked with and Details of Potential Ongoing Collaborations *

No file chosen

(names, e-mail, gender & nationality; in table format)

Budget Details *

No file chosen

(detailed entire income & expenses; in table format)

General CommentsOptional, max. 10 lines

Signature

By signing this form, you confirm that all the information provided is accurate and you agree to acknowledge support from the IUBMB/FEBS/FASBMB PROBio-Africa Fellowships program in all outputs (conference presentations, publications, etc.).

Report should be submitted no later than 3 months after completion of the visit.

* Also please send us a link to your paper and we will advertise it on our website.