Please Attach a Recent Standard Photo of Yourself in the Adjoining Space

Ratiu Grants

APPLICATION FORM – TRAVEL GRANT
- Before completing this standard application form please read the ‘Guidance’ section at the end of this document.
- Fill in all parts of this form electronically (in English)
- Send this completed form, in hard format (printed) - signed and dated, together with the other necessary documents in the APPLICATION PACK (see Section 5) to:
Mr. Nicolae Ratiu
Chairman
The Ratiu Foundation
Manchester Square, 18 Fitzhardinge Street
London W1H 6EQ
United Kingdom

- Also submit this form electronically at and do not change the format of the document. The electronic format does not need a photo. The photo and the signature should be attached only to the hard format.

Please attach a recent standard photo of yourself in the adjoining space.

PHOTOGRAPH

SECTION 1: PERSONAL DETAILS

1.1 Title (Mr, Mrs, Miss, Ms, Other)

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Family name (as shown on passport)

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First name

1.2 Nationality

1.3 Date of birth

Place of birth

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Gender M F

Status Single Married Divorced Widowed

Number of children (if applicable):

1.4

Alternative email

Fax

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Telephone (Home)

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Telephone (Office)

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Mobile

1.5

Postal address for correspondence (in Romania or in the UK)

Please let us know immediately if this changes.

Postal code

1.6

Where are you currently working or studying?

If you are currently working, please provide brief details of your post, grade and main responsibilities.

If you are currently studying, what qualifications do you expect to obtain, and when do you expect to obtain it?

SECTION 2: ACADEMIC BACKGROUND

2.1

Please list all academic qualifications gained since completing your secondary education, stating the institutions attended, the main subjects of study, and when the main courses started and finished. Please attach photocopies of all relevant academic certificates and transcripts (no translation or official stamps are necessary, just simple photocopies of original diplomas).

Qualification (including class or level)

Institution

Subject

From

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SECTION 3: PROFESSIONAL BACKGROUND

3.1

Please list all positions held since completing your education:

Position

Organisation/Institution

From

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SECTION 4: BRIEF STATEMENT OF SUPPORT

4.1

Date(s) of travel

4.2

/ Please state in not more than 1,000 words in the space provided below:
(a) why you need this grant? (please give full details of your host organisation etc.)

(b) how you think you will benefit from obtaining this grant?

4.3

What is the amount you request from The Ratiu Foundation? (Please note that you can only apply for a max sum of GBP 500 – receipts provided)

4.4

BUDGET

How are you going to cover your other expenses (accommodation, meals etc)?

SECTION 5: DOCUMENTS

5.1

Please check if you have all the needed documents for a successful application. A Ratiu APPLICATION PACK should contain:

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Standard APPLICATION FORM (in hard and electronic format)

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Letter addressed to our Chairman (in hard format – original signed and dated)

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Updated CV (in hard and electronic format)

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Letter of invitation/acceptance from the organisers/hosts (in hard format – photocopy of the original document)

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Photocopy of travel document and receipt (in hard format)

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Photocopy of passport (in hard format)

Signature:

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Date:

GUIDANCE

/ There are two deadlines yearly: 15 January, 15 August. The APPLICATION PACK should reach our offices by the application deadline. If they arrive after they will enter the next board. Please allow 60 working days from the application deadline before receiving an answer to your request.
Do not send incomplete APPLICATION PACKS. Do not use this form if you do not have all of the required documentation, as your application will be rejected.
In case your application might not be successful, APPLICATION PACKS are not to be returned. Please do not include originals of study documents as we can not return them.
In case your application is successful:
- After receiving our acknowledgement, in order for us to transfer your travel grant, you should provide an UK bank account. Payment is made by bank transfer only. Please mention if there are any special payment deadlines. You will receive from us a Payment Form to fill in the bank details.
- You should acknowledge the support of The Ratiu Foundation when and where appropriate.
- While in the UK, you are invited to make a presentation in the Culture Power session. See details on our web site www.ratiufamlyfoundation.com
Al documents provided in the APPLICATION PACK should be in English (apart from the photocopies of Romanian study certificates).
Read all info on our web site carefully (www.ratiufamilyfoundation.com). You will be able to open it with Internet Explorer.

For any further queries please contact us by e-mail:

Please note that we do not accept any other documents than those requested.
Please do not forget to sign and date the Application Form, otherwise it will not be considered.
The Ratiu Foundation/The Romanian Cultural Centre would like to update you on their regular programs. Ratiu Foundation will not disclose your details to third parties without your consent. If you do not want to receive our updates, please tick this box.
RFCF form – TRAVEL GRANTS / Page 5 of 5 / Version 13/12/2009