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* 1. Contact information

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* 2. Date of Birth
Please use the format DD/MM/YYYY

Date

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* 3. Professional affiliation details

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* 4. Have you received any ISPN Awards previously?
If you have received ISPN Awards previously, you are not eligible to receive the ISPN Visiting Fellowship Scholarship.

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* 5. Are you a member of ISPN?
If you are not a member of ISPN, you are not eligible for the Visiting Fellowship Scholarship.

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* 6. Visiting center information

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* 7. Visiting center mentor
Note: It is required that this is an active ISPN member.

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* 8. Describe why visiting the specific institution is important to you?
(use max. 1400 characters)

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* 9. Describe the scientific project in connection with the scholarship?
(use max. 1400 characters)

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* 10. Please upload your letter of recommendation

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* 11. Please upload the fellowship agreement

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* 12. Please upload your CV

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* 13. Please provide your bank account details
(Any payment will only be made upon completion of the Visiting Fellowship & revalidation of your bank account information.)

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