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Neuroanaesthesia Society of Great Britain and Ireland
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Travel Fellowship Form
Neuroanaesthesia Society of Great Britain and Ireland

 

 

Application for Travelling Fellowship/Grant
Full Name:  
Hospital Address:  
Daytime Telephone (incl area code) :  
Email Address:  
Present Appointment (Consultant, SpR etc):  
Destination:  
Itinerary:  
Projected Costs (Rough breakdown into travel, accommodation and subsistence.):  
Reasons for travel (What benefits are anticipated to develop from the visit ie. local, regional or national.):  
If overseas, what advantage that has to visiting a UK centre?:  
Has study leave been approved and any expenses borne by your department? :  
NASGBI TRAVEL FELLOWSHIP


  
 

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