Travel Grant Application – ASDF

+66 616060507

asdf @ asdf.international

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Travel Grant

Step 1 of 4

25%

Do you have ASDF Extended / Life Membership ID?*
- Yes
- No
ASDF Membership ID*
Hi,

ASDF Travel Grants are available only for the live ASDF Members. To become a member or renew your membership, please visit www.myasdf.us or your local chapter.

Thanks.
Team ASDF

Name*
First Last
Qualification*
Designation*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
MM slash DD slash YYYY
Age as of Now*
Gender*
- Male
- Female
Nationality*
Affiliation Body*
Affiliation Body Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Field of Specialization*
Curriculum Major*
Curriculum Ancillary
Is your Institute / Organization a member of ASDF?*
- Yes
- No
ASDF Institute / Organization Membership ID*
Email ID*
Mobile Number*

Short Name of the Conference*
Full Name of the Conference*
Edition of the Conference*
Theme of the Conference*
Organizing Body*
Is the Conference supported by ASDF?*
- Yes
- No
Website of the Conference*
Venue of the Conference*
Town of the Conference*
Country of the Conference*
Dates of the Conference*
MM slash DD slash YYYY
Purpose of Attending Conference*
- Author
- Keynote Speech
- Chairing
Title of the Paper about to be Presented*
Nature of the Paper*
- Single
- Co-Authored
Title of the Keynote Speech*
Paper Registration Amount in USD*
Travel Expenses in USD*
Visa Expenses in USD*
Accommodation Expenses in USD*
Grant Value Expected in USD*

I certify that (a) the details given above are correct (b) if the information supplied is found to be incorrect on later date I shall reimburse the entire money to the ASDF, (c) the money received will be used for the purpose for which it is sanctioned, (d) in case financial assistance is received from the organizers or any other agency I shall pay back the amount granted by the ASDF, (e) I shall abide by the decisions of the ASDF (f) I will not ask back the submitted documents in any case (g) I agree that the decision is completely based on various factors and if declined will not ask for the reason.
Full Name in ALL CAPS*
Date*
DD dash MM dash YYYY
Token Review Fee
Total Amount
£ 0.00

About ASDF

Association of Scientists, Developers and Faculties (ASDF) is an International Not-For-Profit organization focusing on Research and Development.

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