Download Bursary application form - the International Society of Plant

The International Society for Plant Molecular Farming
Bursary application
For financial support to attend meetings
Application for ISPMF meeting: YES / NO
Please note that you must be giving a presentation (oral or poster).
Application for a non-ISPMF meeting: YES / NO
Please note that you must be giving an oral presentation.
You may apply for a bursary before you have received confirmation that your presentation has
been accepted, but you must provide evidence before your bursary is paid.
_______________________________________________________
About you
Prof / Dr / Mr. / Mrs. / Miss / Ms
Full Name (Family name underlined):
Affiliation and address:
Tel:
email:
Your Job Title:
_______________________________________________________
About your presentation
Title of your presentation:
Oral / Poster
Which meeting are you attending?
Dates:
Venue:
If this is not an ISPMF meeting, how many delegates are expected to attend? ……..
All bursary recipients are requested to acknowledge the Society in their presentation, using the
Society logo, which will be provided.
Please sign to confirm that the bursary will be used to pay your expenses associated with this
meeting, and that you will not be compensated by any other means for these expenses.
Your signature:
Date:
Notes:
 Payments will be made in UK £.

If payments are made by bank transfer, the Society will not be responsible for any
charges.