The University of Manchester

THE UNIVERSITY OF MANCHESTER

FACULTY OF ENGINEERING AND PHYSICAL SCIENCES

VISITORS REGISTER FORM

SCHOOL ______ETSIT (Universidad Politecnica De Valencia)______

UNIVERSITY SUPERVISOR OR CONTACT ______

PERSONAL DETAILS

SURNAME OR FAMILY NAME __ESLAVA MEDINA TITLE__ (Mr/Mrs/Ms/Dr/Prof) ______Mr______

FIRST OR PERSONAL NAME __FRANCISCO__ MIDDLE NAME ______

HOME ADDRESS ______CALLE ALCOY__PATIO 38_____PUERTA 11______

______POSTCODE ____46970______

DATE OF BIRTH ____MAY 16th 1984______NATIONALITY ______ESPAÑA______

EMAIL [email protected]______

ADDRESS WHILST AT THE UNIVERSITY OF MANCHESTER ______Sackvill Street Building,

Manchester______POSTCODE ______M601QD______

PREVIOUS TEACHING EXPERIENCE (WHERE APPROPRIATE) ______

APPOINTMENT DETAILS

Please give the reasons for the visit:

Become a trainee under ERASMUS STUDENT PLACEMENT European Programme under direct supervision of Dr. Fumie Costen

PERIOD OF APPOINTMENT FROM _____1st Jan 2009___ TO ____15th Aug 2009

SIGNATURE OF HEAD OF SCHOOL

SIGNED ______DATE ______NOTES FOR GUIDANCE ON VISITORS

1. A visitor is any person, not already a registered student or an employee of the University, who has been invited on to the University campus or whose arrival, even if unexpected, will be welcomed.

2. Any person visiting a School within the University must be registered on the EPS Faculty Visitor’s Register. A Visitor Register Form should be completed as soon as confirmation is received that the prospective visitor is coming to the University. If the visitors home address and/or address whilst at the University are not available at the time of completion they should be added later. Schools may charge a fee for attendance, which will go into the Schools reserve account. It is the responsibility of the School hosting the visitor to ensure that any fees are collected.

3. Applications for other titles eg Visiting or Honorary Professor, Reader, Senior Lecturer, Lecturer or Research Fellow should be made on the relevant form that can be obtained from the Human Resources Office.

4. This completed Visitors Register form should be returned to the Human Resources Office, Faculty of Engineering and Physical Sciences, Room B9, Sackville Street Building. A letter will be sent to the visitor to confirm that they are invited to the School and they will then be able to obtain a visitors card from the Human Resources Office on production of this letter.