Name and Title of Academic Visitor: Enter Text Nationality: Enter Text

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Name and Title of Academic Visitor: Enter Text Nationality: Enter Text

ACADEMIC VISITOR FORM

This form should be completed alongside the Academic Visitor Guidelines, available on the HR webpages at: http://www.rhul.ac.uk/iquad/documents/doc/humanresourcesdocs/academicvisitors/academicvisitorguidelines.docx

Name and Title of Academic Visitor: Enter text Nationality: Enter text

Home College/University/other institution: Enter text

Position held: Enter text

Reason for visit: Enter text

Full home address: Enter text

Email address: Enter text

Home telephone number: Enter text Alternative telephone number: Enter text

Benefits to Department/College: Enter text

Category of Academic Visitor (see section 2 of Academic Visitor Guidelines): Select

I recommend that this applicant be offered a place from: Date to: Date

To work with: Enter text Department: Enter text

Immigration:

Will an Academic Visitor Visa be required? : Select

Is the Academic Visitor currently on sabbatical leave from their institution? : Select

Additional information on the immigration requirements for Visiting Academics is available on the HR webpages at: http://www.rhul.ac.uk/iquad/documents/pdf/humanresourcespdf/immigration/sponsoredresearchersacadvisitorscu rrent.pdf

Facilities and Fees:

Will he/she make use of stationery, photocopying, telephones (UK and abroad), secretarial or technical assistance? Select

Is the Visitor aware that he/she has to find his/her own residential accommodation? Select

Academic Visitor Form – updated January 2014 Please detail any unusual requirements: Enter text

Financial contribution to be made by the Academic Visitor: £ Enter text plus VAT Select (Please see section 5.2 of the Academic Visitor Guidelines for clarification on VAT requirements)

If the department waives a fee, the costs will be charged to departmental funds and the waiver should be approved by the Vice Principal (below).

Head of Department: Name Signed: Signature Date: Date

Dept. Administrator Contact: Name Signed: Signature Date: Date

Vice Principal Authorisation: Name Signed: Signature Date: Date

Please return this form by email to [email protected].

To be completed by HR:

Date added to ResourceLink: Date

Post Number: Post Number

Letter sent to academic visitor: Select

Copy letter sent to Head of Department: Select

Copy of Academic Visitor form and Letter saved in Academic Visitor Electronic File: Select

Name: Name Date: Date

Academic Visitor Form – updated January 2014

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