Updated December 2001
TRAVELER
Note: Please do not use any abbreviations.
Name:
Title:
Lab / Branch:
NIH Institute or Center:
Telephone Number:
INTINERARY
Account for all time from
departure date to return. Include carrier names (ex: American
Airlines, Continental Airlines) and flight numbers.
|
AMOUNT AND SOURCE OF FUNDING FOR TRAVEL
NIH Source:
Other (Name of sponsor):
PURPOSE
Describe purpose of travel to
each city/site. For meeting travel, give full name and sponsor of
meeting. Please do not use any abbreviations. For site visits or collaborative research, describe
projects and provide names of principal contacts.
|
NIT Form prepared by: |
Preparer's telephone number: |
Clearance Initials: |
Please E-mail NIT form to Fogarty International Center at ficnit@nih.gov.
For information about obtaining visas and passports for NIH employees who are U.S. citizens, please e-mail Sandra Fuentes in the Fogarty International Center Office of Administrative Management at fuentess@mail.nih.gov or call 301-496-3441.