BIDR Host Form - Annex E
Recommendation Form for Postdoc - Annex E
To be filled-in and submitted separately by the host.
Information on Postdoc
*Name
*Sex
M
F
Home university/supervisor and address
*Name of home university
*Address of university
*Name of supervisor
*Address of supervisor
Approximate date of arrival
*Day
1
2
3
4
5
6
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9
10
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13
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31
*Month
1
2
3
4
5
6
7
8
9
10
11
12
*Year
2007
2008
2009
2010
2011
2012
Approximate date of departure
*Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
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31
*Month
1
2
3
4
5
6
7
8
9
10
11
12
*Year
2007
2008
2009
2010
2011
2012
*Name of host
*Department of host
Desalination and Water Treatment
Desert Ecology
Dryland Agriculture
Dryland Biotechnologies
Environmental Hydrology and Microbiology
Man in the Desert
Solar Energy and Environmental Physics
Assistance requested
*Length of time for which grant is requested
one year
two years
*Length of time for which accommodation is requested
one year
two years
If the visitor is to be accompanied by family members, please give details
Name of spouse
(1) Name of child
Age of child
(2) Name of child
Age of child
(3) Name of child
Age of child
Declaration by host
I have available the funds and facilities necessary
I have allocated funds for the support of the above
Postdoc not less than NIS 31000 per year).
(Does not apply to the Blaustein Postdoctoral
Fellowship in case the applicant receives
this fellowship.)
I'll commit myself to full financial support in the case
that the Postdoc will not be awarded the fellowship.
Apart for short absences (up to 90 days) I will be
present at the Institute during the above period.
*During the periods of absence I will be replaced
as host by Prof./Dr.
We (the applicant and myself) have agreed on the subject of the applicant's project at the Institute:
*Title of Project
Host's signature
Date
Department Head signature
Date