INTERNATIONAL STAFF DEVELOPMENT REQUEST If your request is not overseas please complete the UK staff development request form Please note the below Staff development procedures, form will only be processed if: ‘+ All bookings required relating to this request should be included on the attached form ‘+ {tis your responsibility to ensure the appropriate signatures are sought. All overseas travel require authorisation from the Dean ‘+ No booking will be made without the appropriate signatures form is completed and signed at least 14 working days prior to + Please ensure your conference ‘© Your staff development request should be completed and finalised within 10 working days. Ifa visa is required please allow extra time for this. You will receive notification ‘when this process is completed. Please retum all completed forms to me. Many thanks, Julie Coxon j.a.coxon@derby.ac.uk E&T Finance Administrator Ext. 3210INTERNATIONAL STAFF DEVELOPMENT REQUEST Approval and signature by Dean of College MUST be obtained prior to any booking by E&T Finance Name: Ovidiu Bagdasar Date: 512.2016 Staff development you wish to attend: Erasmus Plus visit to Cluj Napoca Early bird booking deadline: N/A Are you presenting a paper? No Location: Cluj Napoca, Romania Start date: 4 Jan 2017 End date: 14 Jan 2017 Organising body (including address): Please provide as much information as possible, without this information your request will not be processed, ie. web ink fr conference registtation /manval registration form / conference secretary emall Babes-Bolyai University Cluj-Napoca, Romania Strada Mihail Kogéiniceanu 1, Cluj-Napoca 400084, Romania Requirements for staff development — piease tick Ca nnn | Travel requirement, please select and provide an Can the fee be paid by credit card: OD Flights £ 300 O Yes O No | Hotel accommodation | £ 300 Please provide all relevant information to avoid | []_ Rall £ 100 | delay in processing Travelto/ from airport | £ 50 Total cost of staff development event (estimate) : £750 Chartfield — please select eae ‘Dept of Computing and Mathematics (FF3011AA) [Dept of Engineering (FF2017AA) ‘Approved by Line Manager. Pann Date shit Ne Approved by Budget Holder Date Maximum allocation for this event as agreed by budget holder £ Nick Antonopoulos authorisation. Date “Final decision will be made by the Dean**ights Destination: Date you wish to arrive: Departure airport Date to depart, come home: Is a VISA required? O No O Yes Luton to Bucharest (Wizzair) Wednesday, Jan 4", 2017 at 08:40 Cluj Napoca (to Luton) Saturday, Jan 14", 2017 (Cluj Napoca to Luton) We can arrange this service through Co-op Travel Flights departure times: Please select a time: ‘Any further information? ‘Morning, between 6 and 12 x Wednesday, Jan 4", 2017, Wizzair, Luton to Bucharest Afternoon, between 12 and 5 Evening, 5pm onwards Flights return times: Please select a time: v Morning, between 6 and 12 ‘Afternoon, between 12 and 5 Evening, 5pm onwards x Saturday, 14 Jan 2017, Cluj Napoca to Luton, Wizzair | have a Wizz Discount Club. Please can you provide the following information to assist us in completing your booking once approved: Name (as it appears on passport) Passport number TASS aT7A ‘Type of passport Romanian Date of bith 26 Say 1982 Expiry date 24 Apr 2019 Date of issue 2A Rpt 2008Hotel Check in date: | Sun, January 8" 2017 [Check out date: | Sat, January 14" 2017 Name of preferred hotel: | Déja vu Hotel r, within walking distance of provided postcode: Preferential conference rates? Please provide conference rate code to give to the Co-op at time of booking “*If accommodation is required for an evening prior to your flight, please on a separate sheet" Departing from: | Going to: Journey typi return / single / open return (please select) _ ‘Outward Journey: Return Journey: | Date of travel: 7] Date of travel: [Time of travel Teave afier or arrive before | Time of travel | Leave after or arrive before (please select) _| - (please select) Specify time I Specify time: “If you require rail for both UK and International travel, please fillin same details as above on a separate sheet **