Application form for iupac sponsorship

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Дата канвертавання	22.04.2016
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POLYCHAR 24 World Forum on Advanced Materials, 9 – 13 May 2016 Poznan, Poland

APPLICATION FORM for IUPAC SPONSORSHIP

Date of submission
Family name
Given name
Address
E-mail
Affiliation
Status (tick box)	MSc student		
	PhD student		
	Young scientist		
Cost of hotel	Estimated: $	Brief justification (400 characters) ……………………………………………….. ……………………………………………….. ……………………………………………….. ……………………………………………….. ……………………………………………….. ……………………………………………….. ……………………………………………….. ……………………………………………….. ……………………………………………….. ………………………………………………..
Cost of travel	Estimated: $

Please attach and tick the box:

1.	A current CV or resume (give your age)		
2.	Graduate Students: include your submitted abstract (same as submitted online), research plan, copy of student ID		
3.	Young Scientists (up to 35 years of age): include your submitted abstract (same as submitted online), research plan		

Student ID card (copy) attached 		Supporting letter attached 

In the final decision only those applicants will be considered who have registered. The grant is supposed to be a support, not a full cover of the expenses can be expected. Conference fee will be waived for participants receiving the IUPAC sponsorship.