To be sent to the URSI secretariat within three months after the end of a meeting supported by URSI according to mode C.

1. Name, location and dates of the meeting :

2. Detailed accounts of the meeting

2.1 Expenditure (in Euro)

2.1.1 Working costs
a) Secretariat : give breakdown of personnel and other costs :
b) Renting costs (rooms, equipment)
c) Photocopying facilities
d) Stamps
e) Telephone, telex
f) Transportation
g) Insurance

2.1.2 Travel costs : give, for each beneficiary, name, title or quality,
departure location, cost :

2.1.3 Subsistence costs : give, for each beneficiary, name,title or quality,
number of days, amount :

2.1.4 Grants paid to speakers or reporters :

2.1.5 Announcements and programme printing costs :
a) Announcements in journals
b) Call for papers
c) Programme

2.1.6 Preprints :
a) Fixed costs
b) Printing costs
Number times unit cost =

2.1.7 Simultaneous translation costs :

2.1.8 Scientific visits and tours :

2.1.9 Welcome costs :
a) Hostesses
b) Information to participants (documents, briefcase, etc.)

2.1.10 Social programme (if included in budget) :
a) Lunches or dinners offered by key speakers
b) Reception
c) Banquet

2.2 Income (in Euro)

2.2.1 Registration
a) Normal fee times. participants :
b) Reduced fee times participants : (for advance payment)
c) Reduced fee times participants : (for young scientists and students)

2.2.2 Grants :
a) From URSI : fixed sum (mode B) : , loan (mode C) :
b) From other sponsors : give, for each of them, the name and amount, mentioning if known or expected.

2.2.3 Selling of reports :
a) Preprints : number times unit price
b) Other :
c) Copyrights :

2.2.4 Advertising
2.2.5 Registration for scientific visits :

2.2.6 Social programme (if included in budget)
a) Grants :
b) Registration for receptions :
c) Registration for banquet :
Does the fee include the banquet ? YES NO

3 Balance

Gross profit (2.2 less 2.1) : .
b) Loss (2.1 less 2.2).
3.2. To be returned to URSI (this amount is the smallest of the two

figures URSI loan and gross profit) :
3.3. Net profit if any (3.1 less 3.2)

In case of a net profit : does the Organising Committee propose a higher reimbursement to URSI ? What are his wishes regarding the affectation of this supplement ?

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Date : Signed

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