MTS Education & Travel Grant for Overseas Conferences
ONLINE APPLICATION
Please fill in all the boxes.
*
are compulsory fields.
Are you a MTS member?
*
Yes |
No
Title
-
Dr
Mr
Mrs
Ms
Name
*
Position
*
-
Medical Officer
General Practitioner
Specialist
Respiratory Trainee
Allied Health Professional
Other
If Other please specify:
Address
*
City
*
Postcode
*
Country
*
Telephone
*
Fax
Mobile
*
Email
*
Name of Event
*
Select an option
ERS Congress
APSR Congress
Venue
*
Date
*
Your role/activity in this event
*
Oral/Abstract Presenter, Delegate, etc
Please submit the relevant confirmation documents to the Society's secretariat for verification
Involvement in past MTS activities
*
Do you receive any financial assistance from any other organisation for this event?
*
Yes |
No
If Yes, please provide:
Name(s) of the body/bodies that provide the financial assistance
Total amount of financial aid received from other source(s)
Acceptance Letter
*COMPULSORY
Other supporting doc / abstract
Note
: If you have more than 1 abstracts / supporting documents to upload, please save all your abstracts into a zip file
and submit as one file.
Have you been an active life member of MTS for 3 years
*
YES
NO
Your application does not meet the criteria for acceptance
Clicking on the Submit button will mean that you hereby confirm that all the information given above is accurate.
