Bursary Requests

There will be FULL travel, accommodation and registration bursaries available to selected individuals. These bursaries will be made available from industry funding and the WCNeuroTech travel fund.

Anyone can apply for a bursary irrespective of position or location.

Please fill out the details below and your application will be processed as soon as possible.

Conference

Fields marked with a * are required in order to submit the form

Select Conference* : -- Please Select a Conference --/nWCNeurotech 2010 Please select an conference.

Your Details

Title* : A value is required.

First Name* : A value is required.

Family Name* : A value is required.

Country* : A value is required.

Email* : A value is required.Invalid format.

Telephone* : A value is required.

Speciality* : A value is required.

Please state your area of interest using 1000 characters max

Area of Interest* :  A value is required.Exceeded maximum number of characters.

Human Verification

In order to prevent fraudulent submissions by 'bots' we use a human captcha system, please enter the characters you see in the graphic below, in thebox provided

Verify* : Reload Image

 

Page Last Updated : 10-01-2010