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

Funding code
for DFG or BMBF funded projects

Date of publication

DOI 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)

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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