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ASSTA Research Event Awards

Application Form

Applications should not exceed 6 pages and should include:

Successful applicants will be required to write a final report.

Applicant Declaration (to be completed by applicant)

I declare that the information given on this application and all attachments provided are true and accurate records and statements and I authorise ASSTA to verify any facts. I understand that if any information is found to be false this application and/or any subsequent awards may be cancelled.

Signature:

Date:


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