ROBOCUP 2004 TRAVEL SUPPORT FORM

Fill all the fields below and send the filled form to the Technical Committee
Chair of your league,
together with the rest of qualification materials, by March 1st.

NOTE: if the Travel Support Form is not included as part of the qualification
material, this will be
understood as no financial support required. The submission of this form does
not ensure the
allocation of travel support to the team.


Team Name: ____________________________________________________
Affiliation: ______________________________________________________
_______________________________________________________________
Team Leader: ___________________________________________________
Team Leader e-mail:______________________________________________

Number of Faculty/Staff: ____



Number of Students: ___

Previous participations in RoboCup events and results obtained (specify year,
event, classification in League and/or Symposium award):




Do you have paper(s) submitted to the RoboCup 2004 Symposium? YES/NO
If YES, please list their title(s) and author(s):



Detail any sponsorships you have for participating in RoboCup2004 (either
institutional grants or company support):


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Travel Costs

How much will you spend for travel tickets (roughly) ?: ________________EUR
How much will you spend for accommodation (roughly) ?:
______________EUR
How much will you spend to ship the robots/equipments to Portugal (roughly) ?:
_______________________ EUR

How much support does your team request? ____________________ EUR
Justification:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________


Add any other information concerning your team/research group that you
consider relevant:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
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