Application Portal Open 16 February - Close 23 February - Award Announcement 2 March

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* 1. I am applying for educational grant to attend AfricaPCR Course 2018. Support needed for:

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* 2. Grant Applicant Details:

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* 3. Practice Type:

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* 4. Practitioner Profile:

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* 5. I (or my team) perform the following procedures on a weekly basis:

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* 6. I (or my team) are working towards the ability to offer the following procedures:

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* 7. I use the following as my principal access route:

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* 8. I use the following imagining technology during my procedures:

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* 9. I am involved in AfricaPCR 2018 as a:

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* 10. Have you attended Africa PCR in the past? Please indicate the year(s).

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* 11. I am involved in my medical society (PASCAR, SA Heart, SASCI, CASSA, ISCAP, Imaging, Surgical Groupetc.)

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