Convention/Conference/Project Meeting/      Training
Overseas Travel Application Form
	Ben-Gurion University of the Negev
Research & Development Authority

Email: resco@bgu.ac.il
Tel: 08-6472425/6, Fax: 08-6472930	
Dear Visiting Fellow
The Overseas Travel Application Form must be submitted to the Research & Development Authority at least one month prior to the date of travel.  
לחברי הסגל 	
Important Instructions:
1.	Along with this form, documents indicating dates and destinations of travel, and a personal invitation to participate in the relevant program must be submitted.
2.	All details in the form must be completed. An uncompleted form will cause a delay in approval.
3.	Medical insurance for the duration of your trip must be acquired. Additional details can be found in the following link: Medical Insurance.
4.	Updated income tax instructions can be found in the "Information for BGU Travelers" guidance booklet and the "Expense Report for Overseas Travelers" form. It is strongly recommended that you read both. 
Information for BGU Travelers booklet – LINK
Expense Report – For Overseas Travelers – Click Here.
5.	To facilitate the security check at Ben-Gurion Airport at the time of departure, the "Details of Company's Visitor" form can be completed in advance, in conjunction with your Principal Investigator. To obtain the form, please Click Here. 
6.	After the Research & Development Authority has granted approval for overseas travel, the Sabbatical & Foreign Currency Section must be contacted. Following is the list of contacts:
a.	The Jacob Blaustein Institutes for Desert Research and The Faculty of Health Sciences/academic staff: Dalia Vaknin, 08-6472602, daliav@bgumail.bgu.ac.il.
b.	The Faculty of Engineering Sciences and Faculty of Business and Management: Ilana Noah, 08-6472601, ilanan@bgu.ac.il.
c.	The Faculty of Humanities and Social Sciences: Miriam Gal, 08-6477741, mirgal@bgu.ac.il.
d.	The Faculty of Natural Sciences: Ilanit Bulgario, 08-6477699, ilanitb@bgu.ac.il.
e.	The Faculty of Health Sciences/clinical staff: Irit Yankovitz, 08-6477951, balag@bgu.ac.il.
7.	Within 15 days from the date of your arrival to Israel, the Expense Report - For Overseas Travelers form must be submitted: – Click Here.
8.	For certain funds, a cover letter must be submitted within one week from the day of your return, describing the benefits of your trip and its contribution to your current research. To receive the cover letter template and any additional information, please contact the Research & Development Authority at: Ofra Abutbul 08-6472425/08-6472426. 	
Visiting Fellow’s Details  	
								Passport No.	Surname	First name	
Name of Head of Research
	Period of Employment
From ___________To ___________	
Home Address (in Israel):	
E-Mail:	Mobile No.:	Home Tel. No. (in Israel):	Work Tel. No. (in Israel):
	
Details of Contact People/Family Members Abroad		
E-mail	Cell. Phone No.	Tel. No. at Home 	Address	Name of Contact Person	

Research Details	
Duration of Program	Name of Employment Program	Name of Foundation	
From_____________  To _____________			
Travel Details 	
Date of Arrival	Date of Departure	
Destinations and Purpose of Trip	
Fill in the following details according to destinations and purposes of travel:	
Purpose of Travel (please choose the following: convention/research/workshop/study tour/course/meeting/seminar/lecturing/library/other)	To Date	From Date	Country	

Declaration of Passenger	
I declare and confirm that the details contained in this application are correct. I guarantee to acquire medical insurance for the duration of my travel abroad. I guarantee to submit, within 15 days of my return to Israel, an expense report, including original receipts and tax invoices for lodging arrangements, original plane tickets and boarding passes, and receipts and tax invoices for any additional expenses concerning the trip. I am aware that any amount of money that I received, but did not submit receipts on the basis of the aforementioned amount, will be deducted from my salary and returned to the Funding Agency.  
                                                                                           	
Date	Signature	Full Name	
Principal Investigator’s Details 	
Discipline	Degree	Faculty	Department/Unit	
									ID Num.	Surname	First name	
Approval of PI	
Declaration:
•	The purpose of the trip is relevant to the research program.
•	The purpose of the trip meets the conditions of the contract with the Funding Agency.
	
Please mark the appropriate box:
         I confirm that the trip meets the conditions of the contract with the sponsoring fund.
         I do not confirm.
Remarks: __________________________________________________________________________________	
Date	Signature	
Details of Budget – To Be Filled by the Research & Development Authority 	
Number of Contract:
	
Details of Requested Travel	
Number of Budget in Contract:	
Total Amount Allocated for Travel ($):
	
Approval of Research & Development Authority 
	
Please mark the appropriate box:
         I confirm that there is a dedicated budget for the purpose of the trip and that the trip meets the   
              conditions of the contract with the sponsoring fund.
         I do not confirm.
Remarks: __________________________________________________________________________________	
Date	Signature	Full Name	
A representative from the Research & Development Authority must transfer a signed copy of this form to each of the following: the PI, the visiting fellow and Sabbatical & Foreign Currency Section.