Please type the required fields, and then sign and print
To: The Graduate Scholarships Office
[For the Finance Department]
Scholarship Bank Transfer
I hereby request that my scholarship will be transferred to:
Bank: Branch No. Account No.
Name: ID. Date of birth: / /
Cell tel #: Email: @
Degree: Academic Unit:
Date: Signature: _______________________________________
Please sign by hand the printed application form
New scholarship recipients will receive the secret code for the "Hilan Net" system by mail, once the first scholarship payment is made.
Existent scholarship recipients who have difficulties with accessing the "Hilan Net" system should contact Finance Department via phone number:
This form is for updating your bank details information for the purpose of scholarship only! In order to update the bank details information at the Students accounts department / Technion Salary department etc. please approach the appropriate department.
בנין צ'רצ'יל, חדר 204 טלפון – 972-4-8293098 – Tel 204Churchill Building, Room קריית הטכניון, חיפה 3200003 פקס – 972-4-8295635 – Fax Technion City, Haifa 3200003
דואר אלקטרוני email@example.com