WIOMSA Proposals MARG-III - TRAVEL GRANT

Applicants are requested to fill in the following form. The information requested should be typed or entered into the required fields below and where additional information is required, a separate attachment will need to be uploaded to this application. You will be notified by email on successful completion of the submission.

For any information contact:
The Executive Secretary.
Email: secretary@wiomsa.org

PART I: SUMMARY OF THE REQUEST

TITLE OF THE EVENT

Family Name

Other Names

Mailing Address

Office Phone

Mobile

Fax

Email Address

Nationality

Date of Birth

Sex

Male

Female

Are you a paid member of WIOMSA?

Yes

Have you been awarded a MARG grant before?

Yes

If Yes, which one? And when?

Did you publish the supported research project?

Yes

If Yes, list the publication

Name of your Institution

Head of Institution

Address of your Institution

Present position

Title of your Current Post

Years of Service

Type of Organisation

Specify Type of organization

EDUCATION INSTITUTION 1 NAME

STUDY PERIOD 1

DEGREE OBTAINED 1

MAJOR FIELD OF STUDY 1

EDUCATION INSTITUTION 2 NAME

STUDY PERIOD 2

DEGREE OBTAINED 2

MAJOR FIELD OF STUDY 2

EDUCATION INSTITUTION 3 NAME

STUDY PERIOD 3

DEGREE OBTAINED 3

MAJOR FIELD OF STUDY 3

Meeting / Conference Type

If \"Other\", please specify

Will you present a Paper?

Yes

If Yes, then what is the title of your presentation

Name and address of the organizers of the event

Contact person

Contact Telephone

Contact Fax

Contact Email

Have you attended any meetings/ conferences in the last 12 months

Yes

If Yes, then provide details

Title of the event 1

When Event 1 occurred

Location of Event 1

Title of the event 2

When Event 2 occurred

Location of Event 2

Title of the event 3

When Event 3 occurred

Location of Event 3

Description of the meeting/conference, placing it in the broader perspective with reference to its relevance to your research work or your thesis and expected results from your attendance to the event

Justification for Attendance Attachment

Name of Local Currency

Rate of exchange to US$

Travel (return) between your country and the institution (by air, most economical route)

Per diem

Total Cost

Total support requested from WIOMSA

Source(s) of other support(s)

This application is endorsed and the facilities of the institution including the accounting services will be provided to the applicant in accordance with the requirements of the MARG Programme.

Name and Title

Position of Head of Institution

Place

Expected departure date (dd/mm/yy)

Please enter expected date of departure from nearest airport

A signed letter to be attached here.

PART II: SUPPORTING DOCUMENTS

Instructions

In addition to the form please provide the following supporting documents
i) Curriculum Vitae – not more than 2 pages, including your recent scientific publications and research projects.
ii) Confirmation of Abstract Acceptance – Letter of acceptance of your abstract from the organizers.

Curriculum vitae, including your recent scientific publications and research project

Confirmation of Abstract Acceptance - Letter of acceptance of your abstract from the organizers.

The grant is temporarily closed to applications. An announcement of the reopening will be made on this website and WIOMSA social media accounts.

Proposal Submissions

MARG-III – TRAVEL GRANT