Merck Sharp & Dohme Cambridge Educational Sponsorship

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Graduate School of Life Sciences
Isabelle Bouhon Fund
TRAVEL GRANT APPLICATION FORM
Name:
Department:
Name of Supervisor:
Address for correspondence:
Email Address:
Conference / Event:
From:
To:
Location:
Presenting:
talk
poster
nothing this time
other (please specify)
Title:
If you are submitting an abstract to a conference/event, please attach a copy to this application.
Please list costs you wish to apply for (e.g. airfare, registration fees,
accommodation); please include the total cost, although please note
that awards for travel within EU will generally be limited to £300
and awards for international travel to £600
TOTAL
Amount
Have you applied for any other funding to cover these costs?
No
Yes
If yes, please specify the following:
 Source of funding applied to __________________________________________
 Amount applied for _________________________________________________
 What expenses will be covered? _______________________________________
 When was / will this be decided? _______________________________________
Statement by student in support of the application:
Supervisor’s comments:
Please tick box to confirm that this student is undertaking research in the field of Stem Cell or
Regenerative Medicine
Signed (Supervisor)
Date
Please return the form to: Larissa Jorna, Higher Degrees Office, School of Clinical Medicine,
Cambridge Biomedical Campus, PO Box 111, Hills Road, Cambridge, CB2 2SP
Email: [email protected]
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