(NAME AND SURNAME) DOCTORAL STUDENT OF (NAME OF FACULTY

(name and surname) doctoral student of (name of faculty / center) of vilnius university to the rector of vilnius university request f

(NAME AND SURNAME)
DOCTORAL STUDENT OF (NAME OF FACULTY / CENTER) OF VILNIUS UNIVERSITY
To the Rector of Vilnius University
REQUEST FOR AN ACADEMIC TRIP
day-month-year
Vilnius
I would like to request approval for an academic trip to (please
indicate country, city and institution) from (day-month-year) to (day-month-year).
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Purpose of the academic trip: (partial doctoral studies, seminars,
conferences, courses, work in archives, libraries etc.).
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I request reimbursement for the following expenses (please mark the
appropriate box):
rental of living space
travel expenses
local transport costs
visa fee
baggage fee
personal insurance (except life insurance)
conference / course / symposium / exhibition registration fees /
tickets to events
I am travelling by ....... car brand. Registration plates No. .......
I request reimbursement for the following expenses (please mark the
appropriate box):
the cost of consumed fuel
in accordance with fuel consumption standards approved by the Rector
of Vilnius University (costs are paid only when traveling abroad)
car parking lots, insurance and road tax (costs are paid only when
traveling abroad)
I would like to request an advance of ... Eur (in order to transfer
the assigned advance to the personal account, the application must be
filled in at the University Finance Department, tel. No. (+370 5) 268
7036, (+370 5) 268 7193).
Please cover the expenses of the trip from:
Faculty / Institute PhD Student Mobility Fund (please specify the type
of funds).
special program funds (please specify the type of funds).
other legally acquired funds (please specify the type of funds).
expenses are paid by the organizing institution.
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(Supervisor’s name, surname and signature)
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(Name, surname and signature of Doctoral Committee Chairman or Dean)
(Signature) (Name and Surname)