TRAVEL AWARD APPLICATION 

NSW CVRN
1. Applicant Details











2. Impact of Professional Development Activity

3. Funding Details
Please provide a budget outlining the amount you are requesting. This award only covers the following items listed in the table below.
NOTE: To be reimbursed, you are required to provide a financial statement (including receipts) issued by your Institute.
Transport to and from the venue (if applicable). If using own vehicle, please include distance in Kms per trip paid at $0.85 per Km.



Accommodation (if applicable). 




4. Applicant - Summary CV

5. Applicant declaration
By submitting this form:

  • I certify that all details provided in the application (including attachments) are correct and that I have read, understood, and have abided by the instructions associated with this form.
  • I confirm that I have complied with all instructions in the application, and that all necessary supporting documentation has been provided, and I understand that failure to do so may result in the withdrawal of the application from the review process.
  • I acknowledge that proof of expenditure and an invoice from my Institution as outlined in this application must be provided and that the NSW CVRN will not release funds until these items have been received.
  • I certify that my supervisor/head of department has approved of my attendance at the Sydney Cardiovascular Symposium.

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