Delegate Support Application Form

First Name *

Last Name/Surname*

Gender *

I identify as

FemaleMale

Telephone *

Please include country and state code

Email Address *

Please provide your email address.

Email Address *

Organization Name*

Please provide the name of the organization you are from

Work Experince*

Indicate the number of years you have been working

Country *

Please select the country you are from.

Town/City/State

Please indicate the town or city you are from

Title of abstract submitted to the congress.*

Indicate the title of the abstract you submitted to the congress.

Delegate Request For Support

Full support is not available unless a specific sponsor has indicated their total support, where the delegates will be selected by the sponsoring organization itself. Our aim is to provide support opportunities for as many as possible. Priority will be given to applicants applying for support level Congress Registration only, Congress registration and partial accommodation or Congress registration, partial accommodation and partial travel.

Please Consider any Delegate Support Request for:*

Congress registration, partial accommodation and partial travel

Congress Registration Only

Congress registration and partial accommodation

PLEASE SUPPLY THE FOLLOWING INFORMATION:-*

A. Please support your request for Delegate Support by providing a brief description of your area of work and/or study, and provide an explanation as to why you should be considered for support. (Please attach a document by clicking the browse button below. If you are unsure or attach a wrong document click the reset button then click the browse button to attach the relevant document)

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Evidence*

B. Please provide evidence of the approaches you have made to obtain funding from your own organization, international aid organization, NGO or other sources of funding. (Please attach a document by clicking the browse button below. If you are unsure or attach a wrong document click the reset button then click the browse button to attach the relevant document).

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BEFORE YOU SUBMIT

PLEASE ENSURE YOU HAVE THE FOLLOWING ATTACHED:-

(1.) Letter of approach to other organizations