PROBio-Africa 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

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 including copies of ALL receipts covered by the award)

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.