Masarykova univerzita, Žerotínovo nám. 9, 601 77 Brno Bank account information Account Nr: Bank code: Data for foreign payment : Account Name : Name of financial institution : Address of financial institution: IBAN: SWIFT CODE: Financial institution accepts the Czech currency: Yes No* …………………………. signature Name and surname: …………………………… Address: …………………………… Date: ___________________________________________________________________________ * delete as appropriate