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1. Contact information (Required.)

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2. Date of Birth
Please use the format DD/MM/YYYY (Required.)

Date

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3. Professional affiliation details (Required.)

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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. (Required.)

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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. (Required.)

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6. Visiting center information (Required.)

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

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

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

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10. Please upload your letter of recommendation (Required.)

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11. Please upload the fellowship agreement (Required.)

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12. Please upload your CV (Required.)

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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.) (Required.)

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