Howard See Young Rheologist Travel Award

THE AUSTRALIAN SOCIETY OF RHEOLOGY INC.

A0055806E

2019 Howard See Future Rheologist Travel Award — application form

Email the application form to the ASR australiansocietyofrheology@gmail.com before the deadline — midnight on the 1st of August 2019.

Please ensure that you have completed all sections, and that you and one of your supervisors have signed it.

Applicant details:

Title:

Name:

Position:

Department:

Organisation:

Postal Address

Street:

Suburb:

State:

Post code:

Country:

Phone:

Office:

( )

Mobile:

( )

Email:

Conference details:

Conference

Title:

Organiser(s):

Location:

Dates:

Significance of conference:

Estimated conference cost (including travel and accommodation)

Conference paper details:

Conference paper title:

Conference paper authors:

Conference paper abstract:

Rheological significance of work to be presented:

Agreement:

I, the applicant, confirm the above information to be true, and agree to abide by the conditions of the award as published on the ASR website.

Name

Signature

Date

I, the applicant’s supervisor, confirm the above information to be true, I endorse this application, and will ensure the applicant and university abide by the conditions of the award as published on the ASR website.

Name

Signature

Date

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