ADS Kellion Award Application

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Nominations should include a letter (not exceeding 2 pages) clearly stating the basis of the nomination and a full curriculum vitae of the nominee.

"*" indicates required fields

Applicant (Nominee's) Full Name*

Title First name Surname

Institution*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Are you a current financial member of ADS for at least one year?*

Yes

Have you applied for this award/grant/fellowship previously?*

Yes

Nominator/s Full Name*

Files (Nomination letter, CV)*

Please select the files required for this application.

Drop files here or

Max. file size: 64 MB.

Name

This field is for validation purposes and should be left unchanged.

Australian Diabetes Society

For all enquiries:

145 Macquarie Street,
Sydney, NSW, 2000

p: 61 2 9169 3859
e: admin@diabetessociety.com.au

Divisions

Acknowledgement of Country
The Australian Diabetes Society acknowledges the Traditional Custodians of the lands upon which we live, learn and work.
We pay our respects to Elders both past, present and future.

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