The IPOPI NMO Support Programme is open to all NMOs and serves as a resource to support initiatives that enhance diagnosis and treatment for primary immunodeficiency patients, as well as to help new associate NMOs to become effective organisations.

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1. Name of the organisation (NMO) (Required.)

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2. Country of the NMO (Required.)

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3. Name of the NMO (Required.)

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4. Name of chairperson of the NMO (Required.)

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5. Do you represent: (Required.)

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6. Your name (Required.)

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8. Phone number

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9. Project description
Briefly describe your project (outline the project goals, timeline, participants, starting and finishing dates, etc). (Required.)

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10. Project budget
Please insert a short budget statement of your initiative with all the amounts shown as EURO (€).

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11. Amount requested from IPOPI’s programme in EURO (€):
Please note that each project can receive a maximum grant of €5,000. (Required.)

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12. Have you explored alternative funding options to develop this project?
Select one of the options. (Required.)

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13. If you selected "Yes, we have secured a co-funder," kindly identify the co-funder

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14. I confirm that the contents of this application are true to the best of my knowledge (Required.)

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15. Please write your full name and today's date. (Required.)

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