Application for funding by the publishing fund of Heidelberg University

I hereby apply for financial support by the open access publishing fund of Heidelberg University.

Given name (of applicant) Mandatory field :

Family name Mandatory field :

Email Mandatory field :

Current institutional affiliation Mandatory field :

Article title Mandatory field :

Journal title Mandatory field :

ISSN Pflichtfeld :

Publisher Mandatory field :

License Mandatory field :

Creative Commons Attribution (CC-BY)

Creative Commons Attribution-Share alike (CC-BY-SA)

other, please specify in comments

Funded by Mandatory field :

Mandatory field A lump-sum cost support of € 1,000 gross will be provided by the publishing fund. I hereby confirm that I will finance the gross costs exceeding this € 1,000. This amount will be invoiced to my institution by the University Library at the address provided below.

Invoice address: Mandatory field :

Upload of publisher's invoice and, if necessary, further document

Upload up to three files:

File	Description

Comments:

Please confirm :
I have read the data protection information and the user regulations of the Heidelberg University Library system.

= Please fill in the mandatory fields.