TRAVEL PROPOSAL FOR A BUSINESS TRIP ABROAD

*Name, surname, academic titles	Date of birth: Mobil phone:
*Department/Workplace/Institute
*Planned departure date
*Planned arrival date
*Country, place, institution
*Name and type of activity
* Task of the posted person
The date of last COVID -19 vaccination dose (if applicable) on: The last day of quarantine after COVID-19 (if applicable;+ 180 days of immunity) on:
Requested advance payment: Granted advance payment:
*Means of transport and fares (train, bus, air ticket and public transport in the country of destination) When using an own car it is necessary to present the Consent with the permission of the vehicle use including annexes	In the case of an air ticket – I require checked baggage: yes/no A ticket approx..:………………………….CZK Other transport approx.: ……………CZK/EUR/USD/GB
Subsistence allowance (according to Foreign Subsistence Rates and Reduction Rules)
*Accommodation (total price for entire journey and information whether breakfast is included	Price: Breakfast included: YES NO
Insurance: Europe CZK 51/day World CZK 92/day
Conference fee/attendance fee: in cash (indicate the billing address on the document: University of Hradec Králové, Rokitanského 62, 500 03 Hradec Králové, Czech Republic, VAT 62690094 bank account transfer/UHK card – attach request please
*Financing: department–project–science –Erasmus–ESF–other (delete as appropriate)
In case of project-based funding, specify project title; for ESF also specify project registration number:
Work order: Workplace: Activity:
checked by Science and Research Office or International Office (date, signature)
Reimbursement of costs at the receiving institution will be required: YES – NO (delete as appropriate)
Further arrangements:
Applicant’s signature/date	***
Signature of the head of the department/institute, date
Signature of the transaction authoriser/according to the order/, date
Signature of the relevant Vice-Dean/Vice-Rector, date
Dean’s signature, date

The applicant declares that he/she has duly acquainted himslef/herself with the total amount of funds allocated for the business trip abroad and undertakes not to exceed the determined budget. At the same time, he/she is aware that the trip cannot be deliberately reduced or extended, it is always necessary to contact J. Holubová, foreign trips administrator. Attached is a handwritten signature as proof of consent.

Update 08/2022