Scholarships Application Page

Name*
Title First Name Surname
Institution
Position / Role
Email*
Phone*
Please tick as appropriate - Please note you can select more than one*
- I am applying for a Site Scholarship
- I am applying for a Poster Presenter Grant
- I am applying for an Ipsen Sponsorship
- I am applying for NZ Preceptorship Sponsorship
- I agree to comply with the Conditions outlined on the meeting website
Please tick as appropriate*
- I am a member of the AGITG
- My application for AGITG membership has been sent to AGITG@gicancer.org.au
If your application is successful, AGITG will be in contact to organise payment/reimbursement.
Agree to Conditions*
- I agree to comply with the Conditions outlined on this page*
Data Storage Consent*
- I consent to my submitted data being collected and stored as per the terms of our privacy policy*
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AGITG 2022 Annual Scientific Meeting