ADS ADC Registration Grant Application Form

Please note - before commencing this form ensure you have a pdf or word document from your supervisor or department head indicating the nature of your present position and the availability of other sources of financial support for your registration to the ADS/ADEA Australiasian Diabetes Congress.

Title:

Name:

Surname:

Email:

Institution:

State:

I am an ADS Member for more than 12 months at the time of submitting this application. Yes No (Member since July 2019)

I am a financial member (Paid subs to 2020) Yes No

Supervisors Name:

Institution Department:

Abstract Title:

I am a junior investigator Yes No

Abstract Status:

I am currently in training for a higher degree e.g PhD, MD, Fellowship or medical specialty. Yes No

I am in receipt of a grant from any other body to attend the ADS/ADEA Australasian Diabetes Congress or a meeting in association with the ADS/ADEA ADC Yes No

Supervisors Letter :

Please Note: The ADS Secretariat will advise you of the outcome of your registration grant application the week prior of the Australasian Diabetes Congress. A requirement is that your abstract must be accepted for presentation. If your application is successful, the ADS will provide you with the registration grant following the ADC and not beforehand. Registration Grant Applications close on Monday 28 September 2020. All applicants must be a financial member of ADS (Paid subs to 2020) and must have joined as a member of ADS prior to July 2019.