IUBMB Wood-Whelan Research 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)

Describe the Work Concluded *

No file chosen

(Indicate the work done in terms of the original proposal in the application and MUST be countersigned by the Head of the host laboratory)

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.