ISFP Travel Bursary Application

Name of applicant:

Position of applicant: Student Yes/No

Years since commencing Ph.D.

Junior post doc yes/No

Laboratory head and address of current institution:

Laboratory head and address of host institution:

Date and duration of visit:

Estimated cost of visit: Travel

Accommodation

Other costs

Contribution from current institution:

Other support:

Purpose of visit:

(describe in maximally 1 page the purpose of the visit and what is expected to be gained from it)

Other requirements:

Letter of support from current supervisor and host laboratory

Short CV of applicant

Application form to be returned to the Executive Director of ISFP (roger.lijnen@med.kuleuven.be)

c/o Center for Molecular and Vascular Biology, University of Leuven, Campus Gasthuisberg, O & N, Herestraat 49, B-3000 Leuven, Belgium, Fax 32-16-345990