SPB Student Grant Application Form

Student Grant Application Form

NOTE: All fields marked with a "*" are obligatory. Make sure you read the guidelines for applying for an SPB student grant successfully. Make sure as well that your application is within the deadlines for the current evaluation period.

Personal Data:

*Full name:

*Email address:	Send carbon copy to your address

*Institution:

*Institutional address:

*Postal code:	- *Location:

*Telephone	* Fax:

*NIF:

SPB Membership:

*Years of SPB Membership: (Minimum: 1 year)

Curriculum Vitae:

*Graduation field:		Other:
*Graduation year:		*University:
*Graduation average:

MSc field:		Other:
MSc graduation year:		University:
Curricular average:		Final Mark:

I am a PhD Student:		University:
Supervisor(s) name(s):

Publications:
Oral Presentations:
Posters:

Meeting:

*Meeting Designation:

*Start Date:	- -

*End Date:	- -

*Location:		*Country:

*Meeting Web Page:

*Submitted Abstract: