Kavli Nanoscience Symposium Kavli Institute of Nanoscience, Delft March 4-6, 2026 2026 Nanoscience KI Symposium Reimbursements This field is hidden when viewing the formBasic InformationThis field is hidden when viewing the formDate of Request* MM slash DD slash YYYY The cutoff date for reimbursements is 60 days from the meeting date. Please note that only items with a receipt and description of expense will be reimbursed. Bank statements are not accepted as receipts. Meals will be reimbursed for the day of the event, or during travel to the event. The daily meal limits that are reimbursable (with accompanying receipts) are: $30 – breakfast $40 – lunch $75 – dinner Taxicab and ride-sharing fares will be reimbursed with a receipt and the tip clearly noted. Mileage for personal vehicles is reimbursable at the U.S. Internal Revenue Service Rate (currently $0.725/mi for 2026). A map printout is required as distance documentation. If you have a US account, the Foundation will send payment via ACH deposit or a USD check to the address you provide. For international attendees, you will be asked for your banking information for a wire transfer.Attendee InformationName* First Last Email* Which of the following methods would you like to receive payment?* ACH Direct Deposit (US only) Wire Transfer (required for international attendees) Paper Check (bank must accept USD checks) Attendee Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country We will mail a check, made payable to:*Expense InformationAt least one expense description and amount is required. Please list all transactions as separate. Do not combine taxi or meal transactions. Description/Comments should include what each charge was for (taxi to/from locations, additional persons that were paid for during meals, etc.) **IF THE CHARGE WAS NOT IN USD, please put the foreign currency amount, and write what currency was used in the Description/Comments section for the charge.Expenses Date of Transaction Currency Amount Category Description/Comments Actions Edit Delete There are no Expenses. Add Expense Maximum number of expenses reached. Additional Info/CommentsAttach copy of ALL receipts* Drop files here or Select files Accepted file types: pdf, doc, docx, png, jpg, jpeg, Max. file size: 4 MB. Attach additional documents if necessary Drop files here or Select files Accepted file types: pdf, doc, docx, png, jpg, jpeg, Max. file size: 4 MB. Are you filling out this form for someone else?* Yes No Who is filling out this request?(if different from attendee requesting reimbursement)Name First Last Affiliation/OrganizationEmail
