PROBio-Africa Fellowship - Bank Form

Bank form – PROBio Africa Fellowship Programs

IUBMB PROBio Africa Fellowships

Name of awardee

As spelled on application form

Total Fellowship Award (€ – EUROS)

€ EUROS

If using Diversity Travel, you must deduct the amount and enter the remaining total of the award

Amount is in Euros

Location

Number of days in Host country

Bank Account Details

First Name

Middle Name

Last Name

Full Mailing Address

Street address, City, Province, ZIP/Postal code, Country

Phone

Name of Account Holder

As spelled on the bank documents

Bank Name

Bank Address

City and State only

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)

nine-digit string

*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

Address

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.

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.

*I verified that the provided account details are accurate and can receive bank transfers from abroad and in EUROS (checkmark if you confirm)

I CONFIRM

If you are human, leave this field blank.