Publication Fund: Application form for funding for monographs or edited volumes

Fill in the application form as completely as possible (* = mandatory fields).
Please note:

• If you wish to apply for funding for a contribution to an edited volume, please use the form Application for funding for a contribution to an edited volume.
• If you wish to apply for funding for an article, please use the form Application for funding for an article.

Application for funding for a monograph or edited volume from the Publication Fund

Author/Editor*

Department of Bielefeld University*

Author's/Editor's e-mail address*

Title of the publication*

Publisher

Publication fee paid in euros*

Type of publication*

--- Please select --- Thesis (doctoral dissertation, habilitation thesis) Edited volume Monograph

Date of publication

Complete only if the publication fee was paid from a university cost centre account

Cost centre account

Complete only if the publication fee was paid from a personal account

Author's/Editor's address

Author's/Editor's date of birth

Author's/Editor's tax number

Author’s/Editor's bank details (IBAN, name of bank)

Upload invoice

Remarks

Declaration of Consent*

I hereby consent to the processing of my personal data for the purposes which are described in the privacy statement.

Please leave the following field blank

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If you have any questions about the Publication Fund, please contact:
Support Publication Fund, Tel.: +49 (0) 521 106-4104
E-Mail: oa.ub@uni-bielefeld.de