EDUCATIONAL GRANT APPLICATION FORM
   
Title
First Name / Last Name *
Age *
Institution *
Address
City *
Province or State
Postal or Zip Code
Country *
Telephone
(Including country code)		 *
E-mail * *
 
I am applying for Educational Grant Support to cover my :

 

Your hotel reservation will be arranged by the Organizing Secretariat based on your flight ticket details. Accommodation will be provided in a single room on a room-only basis at the conference venue or a nearby hotel.
For additional night requests, you may contact the Organizing Secretariat at registration@icurestroke.org
Please note that:

  • A maximum of three nights in a single room will be covered. Any extra nights must be paid for by the attendee. You may contact the Organizing Secretariat for additional night arrangements at registration@icurestroke.org
  • The cost of a double room supplement must be covered by the attendees and paid directly to the Organizing Secretariat.
Upload File(s) :

Please upload your Short CV and Endorsement Letter (Letter from program director/supervisor endorsing the Educational grant request and authorizing the time off to attend the conference) by clicking the "Upload button".
 
 
   
Before submitting your application, please review your information carefully to ensure accuracy. Incomplete or incorrect applications may not be considered. If you have any questions, please contact the Organizing Secretariat at secretariat@icurestroke.org