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 ONC-Conference-Fund@sheffield.ac.uk