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Application Form for Travel Awards
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Full name
Date of Birth
MM
/
DD
/
YYYY
Nationality
University/Institution/Affiliation
Research Area
Status
Email
Mailing Address
Accommodation (USD)
Travel information, including
a. estimated round-trip travel costs to and from the meeting site (Economy-class Airfare)
b. city and airport where travel will originate
Please explain why you would like to attend the conference, and why you are deserving of a travel award *
You need to include a reference from a senior researcher in your field
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