Guest researchers registration form (Infomedia)

This form is only for use at the Department of Information Science and Media Studies

1Guest > 2Financing
Responsible host Responsible host First Last
Email of responsible host
Name, guest Name, guest First Last
Email, guest
Phone, guest
Nationality, guest
Purpose of visit
Maximum of 250 characters allowed. Currently Entered: 0 characters.
Arrival Arrival / MM / DD YYYY
Departure Departure / MM / DD YYYY
Home institution (incl country)
Contact person at home institution
Does the guest need a letter of invitation?

Does the guest need a letter of invitation? Yes No
Does the guest need UIB guest user account?

Does the guest need UIB guest user account? Yes No
Suggestion for office space:
Is Infomedia (or a project hosted by our department) funding any expenses related to this visit?

Is Infomedia (or a project hosted by our department) funding any expenses related to this visit? Yes No