EAHAD 2018 Travel Grant Application
11th Annual Congress of the European Association of Haemophilia and Allied Disorders
7-9 February 2018 in Madrid, Spain

If you wish to be considered for a travel grant to attend the congress, please complete the form below and attach a motivation letter.

For full details on the travel grants, including eligibility conditions, please visit: http://eahad.org/travel-grants-to-eahad-2018/

Should you have any trouble completing the form, please send an email to info@eahad.org with the subject line "EAHAD 2018 Travel Grant".

Email address
Last name
Your answer
First name
Your answer
Date of birth
MM
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DD
/
YYYY
Profession (please select the most relevant category)
Current employer (include city and country)
Your answer
Have you submitted an abstract to EAHAD 2018?
If yes, please list the Abstract Number(s)
Your answer
Please indicate which event you wish to attend.
Have you previously been awarded a Travel Grant to attend an EAHAD meeting? (preference will be given to those who have not previously received a travel grant)
Letter of motivation: Please let us know why you are applying for this travel grant and what you are hoping to gain from participating in the EAHAD 2018 Congress (max 300 words)
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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