APPLICATION to TUT Director for Finance for disbursement of scholarship Please disburse scholarships to the persons specified in the table below. Reason for awarding the scholarship: I confirm that: 1) the scholarship is not awarded for execution of work or provision of services; 2) the relevant financial resources have been planned in the budget of the structural unit/financing source; 3) disbursement of the scholarship to the recipient is legitimate and complies with the donor’s rules. Name of the recipient of the scholarship Bachelor student/ Master student/ Ph.D student/ employee Amount of Period for monthly disbursement payment of the (€) scholarship Account number Code of the Department/ object/financing institution source (code) Authorising officer (name, signature): Date: Head of the structural unit (name, signature): Date: Name of the project manager/authorising officer