Faculty of Medicine, Dentistry and Health Department of Oncology Conference Fund

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Faculty of Medicine, Dentistry and Health
Department of Oncology Conference Fund
Application Form
1. Name of applicant:
2. Email Address:
3. Academic Unit:
4. Conference/Event information
Title:
Date/s:
Location:
5. Abstract of presented work (or attach abstract to form)
6. Please give a breakdown of anticipated expenses using the table below
Anticipated Costs of Meeting
Conference Fee
Accommodation
Travel and Subsistence
Total Amount requested
£
Please remember claims can only be made after the event on a Grey
Expense form.
7. Please detail other contributions to the cost of participating in the
conference/event for which you are making the application:
8. Signature
of
applicant:
……………………………………………
Date:
………………….…………..
9. Signature of Line Manager / Supervisor:
…………………………………… Date:
……………...
Please return to [email protected]
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