IPOPI EU PID Forum – NMO Travel Grant application

IPOPI EU PID Forum – “Understanding AI’s ability to transform PID healthcare”

Please submit your application form before December 29, 2024.

Terms and Conditions:

The amount of the Grant is 250€ per NMO to reimburse the purchase of a return flight (or train) to Brussels. Additionally, if required IPOPI will book one night of accommodation in Brussels on January 27.
The grants are aimed at NMO Leaders who have an interest in the PID Forum topic.
Applying for a grant does not mean that the grant will be automatically approved. IPOPI will select the 3 grant winners among applicants.
All applicants will be notified within one week of the final decision after the application period.

Country*
Name of organisation (NMO)*
Name of Chairman of NMO*
Name of Proposed Delegate & Position in NMO*
Phone number*
Email address*
Please briefly describe why you would like to attend this PID Forum (e.g. how can you contribute to the discussions from your experience / your NMO experience; how this will be helpful to you and your NMO)*
Total amount of the flight/train return ticket*
Please note that the IPOPI NMO Travel Grant is up to 250€ per NMO to reimburse the purchase of a return flight (or train if applicable) to Brussels.
Should you require one night accommodation on January 27, 2025. Please let us know*
- Yes, I require accommodation
- No, I don´t require accommodation
Your name*
Date
Date Format: MM slash DD slash YYYY