Royal Economic Society 2017Conference
Claim form for financial assistance for Postgraduate StudentMembers
Are you a member oftheRoyal EconomicSociety? / Yes /No(please note that assistance can only be provided to membersoftheSociety)
Please provideyourmembershipnumber(7digits)
Did you present apaper? / Yes /No
If"No",areyoutheco-author of a paper that waspresented? / Yes /No
If "Yes", please give thenameof the presentingauthor
Paper Conference Maker ID
SessionNumber
Yourdetails
Title
Forenames
Surname
Fulladdress
Country
Postcode/Zipcode
Emailaddress
Your postgraduate coursedetails
University/HigherEducationInstitute to whichaffiliated
Department
Supervisor
Thesistopic/area
Number of yearsofpostgraduatestudy / Full-‐time:
Part-‐time:
Expensesclaimed / £
CONFERENCEEXPENDITURE
Cost and type ofconferenceregistrationpackage
Dates attended(dd/mm/yyyy) / Arrival
Departure
TRAVELDETAILS
From:
To:
Cost of transport –e.g.
- Rail fare & Type offare(e.g. price/2ndclassadvance)
- or Flight & Type offare(e.g.price/advance)
OTHER EXPENSES(PLEASESPECIFY)
1.
2
3.
Haveyoureceivedany co-funding? / Yes /No
If “Yes”, please statesourceandamount
Is this a joint claim?
(e.g. splitting the cost of transport or are accommodation cost being shared with other delegates claiming under this scheme?)
Please provide name/s of other delegates also making claims
Your bank details (your claim will NOT be processed withoutthis)
Bank Name & fulladdress
AccountnameAccountnumber
Sort Code(UK)
IBAN/SWIFT routingnumber(non UKaccount)
Please send this form by 24th Mayvia email with scanned receipts to , alternatively please post signed forms and original receipts to:
Jo McWhirter
Conference and Events Assistant,
The Priory Road Complex
Priory Road
Bristol
BS8 1TU
Please retain a copy of your completed form for your ownrecords.
Queries should besent to the RES Conference Secretary
Applications for assistance will be acknowledged and payment confirmed by email to theaddressprovided.