Information needed for your travel file at IRD

Personal Info

First name:
		
Last name:
	
Affiliation:
	
Administrative address:
		
Telephone:		
Fax:		
Email:		

Personal address:
	
Bank Info

Full name and full address of your bank:
		
Your bank account data (complete data / IBAN for international wire transfers):
		
NOTE: This form must be accompanied by a formal statement from your bank containing the information provided above.

Travel Info

Transportation  (plane / train…): 		
Preferred schedule/Itinerary options:

If explored / known: approximate cost: 
		
Passport or ID (with which you will travel)
country:
number:
expiration date:

NOTE: Please do not purchase your tickets directly.  Tickets must be purchased through the IRD travel agency.  You can, however, look online beforehand to identify your preferred itinerary.
		
NOTE: You should make hotel reservations yourself and you should pay for the hotel up front (to be reimbursed after returning from your visit to the center).  A list of recommended hotels in Sète can be found 	at the CRH website:

http://www.crh-sete.org/acces/acces.htm

PLEASE SEND RETURN THIS FORM VIA EMAIL TO David.Kaplan _AT_ ird.fr.