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  IASP 12th WORLD CONGRESS ON PAIN TRAVEL BURSARY APPLICATION FORM
Guidelines on how to submit your application can be found below this application form, or by clicking here
Fields marked with a * are mandatory
 
  Personal details      
  British Pain Society Membership No*    
  Title*    
  First name*    
  Surname*    
  Degrees/Qualification*    
 

Contact address

 

 

 

    
  Telephone*    
  Fax    
  Email*
Institution name /place of work
(if different from above)		    
  Current post    
  Current income    
 
  Amount of aid requested:      
  Registration fee    
  Accommodation cost per night (max. 5 nights stay) No. of nights
  Economy Travel    
 
  Other sources of support available (obtained) or applied for:
  Source 1    
  Amount 1    
         
  Source 2    
  Amount 2    
 
Head of Department/Supervisor details
The British Pain Society requires the Head of Department /Supervisor to confirm the applicant's attendance to the World Congress. An email will be sent to the Head of Department/Supervisor with a copy of this application form for approval.
Title (Mrs, Mr, Dr etc.)*
First name*
Surname*
Position*
Telephone*
Email address*

Attachments
please attach the following:
A copy of your CV*
A copy of the abstract that will be presented at the Congress*
A copy of the confirmation of receipt of abstract*
Confirmation
Applicant's confirmation* I confirm that all the information submitted on this form is correct and conforms to the guidelines set out below.
Date*    
 
        
 

IASP 12th WORLD CONGRESS ON PAIN TRAVEL BURSARY GUIDELINES
DEADLINE: 31 December 2007

In order to encourage members to attend the International Association for the Study of Pain World Congresses, the British
Pain Society has made funds available to assist its members who require financial assistance to attend the 12th World
Congress on Pain, on 17-22 August 2008 in Glasgow, UK.

Eligibility

  • The applicant must be a current, Ordinary member of the British Pain Society, in good standing, and a member of
    IASP
  • The applicant must have an income of less than £40,000 p.a. and give evidence of such
  • The applicant must be working within the field of pain
  • The applicant may not apply for this bursary if he/she has been granted other British Pain Society bursaries within 12 months of this application
  • The applicant must be presenting work at the Congress

Application

  • Applications can be made online or by post. For online applications please complete the online application form above. For postal applications, please complete and return the IASP World Congress on Pain Travel Bursary application form to the British Pain Society.
  • The Application Form must be counter-signed by the Head of Department or sponsor
  • The applicant must provide a copy of the abstract they intend to present and confirmation of receipt of abstract
  • The applicant must submit a CV (including full list of publications)

Decision

  • Applications will be evaluated by a British Pain Society sub-committee
  • The applicant will be notified of the decision in writing
  • If successful, the applicant must provide all receipts against which the aid is to be provided. Aid is limited to the cost
    of registration, accommodation and economy travel. A cheque will then be sent to the applicant.