EULAR 2017 Travel bursary

Please fill out the form carefully.
All fields marked with * must be filled out

Please note:

For technical reasons, EULAR will only be able to accept uploads in PDF format.
Be sure to prepare all your required documents as PDFs before uploading. Thank you for your understanding.

Personal information

I'm applying as qualified clinical & research professional
clinical & research trainee
Options I confirm that I am not sponsored by indutry for attending the congress
I do not need hotel accommodation
I need a double room and pay additional costs myself
Family name* First name(s)*
Address street 1* Address street 2
Zip code* City*
Gender* Female       Male
Phone number* Fax number
Email* Date of birth*

Working unit information

Academic degree* Date of thesis
Unit name*
Unit address 1* Unit address 2
Unit zip code* Unit city*
Unit country*
Unit phone number* Unit fax number

Additional information and supporting documents

I have received a bursary from EULAR in previous years No    Yes (Please specify below)
course, congress, year, amount in EUR etc.
The reason for your application*
Confirmation Nr. of Submitted Abstracts*

Document Attachment

Please select the files to be uploaded by clicking the button below on right side of the upload field(s).
Only PDF documents (.pdf) can be attached.
Please make sure your uploaded document(s) is not protected by a password.

Important information for Mac-users:

Please ensure your files are named properly including the file extension pdf.
Please upload your CV as PDF*
Please upload the list of your publications as PDF
Please be aware that this procedure can last for several minutes.
Don't leave this page before the procedure is finished.
You will receive a confirmation on your screen after successful submission.