Personal Information Form for US grantees to Germany

Please fill out this form after your arrival in Germany and once you have started your grant. This information is needed in order to process your stipend payments. It takes approximately 10 business days for the first payment to arrive in your account.

1. Contact Information

Grant Category

Grant Year

Last Name

First Name

Care of / Extras

Street and No.

ZIP Code

City

Bundesland

Email Address

Mobile Phone Number

2. Emergency Contact

The person you list will only be contacted in the event of a health or safety emergency in which you are personally involved. You may list a parent, family member, spouse, or other trusted individual as your emergency contact.

Last Name

First Name

State

Country

If a money transfer goes to the wrong account because of incorrect information provided in this form, there is NO entitlement to a second money transfer.

Name of the Bank

Account Holder

IBAN

Hinweis: IBAN = International Bank Account Information. The first part consists of country code (DE) and two numbers. The second part consists of routing number and bank account number. A German IBAN consists of a total of 22 characters.

BIC

Verwendungszweck (optional)

Date Account was Openend

5. Confirmation

I herewith confirm that the above stated information is correct.