Report form – The Foundation Blanceflor

Fist Name *

Family name *

Date of Birth *

e-mail *

Mobile phoneMobile phone incl. country code *

LinkedIn profile

Address *

2nd address line

Postal code *

City *

Country *

Present occupation (résumé, max 50 words) *

Title of the study/research project *

Study/research results in a few words, résumé, max 100 words *

Level of studies/research *

Hosting institution/university where the studies/research took place *

Country where the studies/research took place *

Initial date for the period *

Final date for the period *

Grant in SEK from The Foundation Blanceflor *

Other grants received for the same purpose?

21. Report to The Foundation Blanceflor (.pdf) *

22. Publications related or other relevant documents (.pdf)

23. Publications related or other relevant documents (.pdf)

24. Publications related or other relevant documents (.pdf)

25. Publications related or other relevant documents (.pdf)

Other relevant remarks

I consent collecting this data and processing it according to The Foundation Blanceflor Boncompagni Ludovisi, née Bildt, GDPR policy. *

Captcha *