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2023 Spring meeting
Killeavy Castle Estate, Newry
22
nd
Apr 2023
Describe the course/conference
Give date, time, location and duration, as well as the objectives, content etc. *
Who is the course/ conference aimed at? *
Personal and Professional Details
Name and Surname *
Academic Title(s) *
Current position *
Hospital/ Institute/ practice *
Address *
Email Address *
Telephone *
Mobile *
Professional Experience
Years of experience in field *
Motivation
Please provide us with your motivation to participate in the course/ conference and your expectations of how you will apply the new skills in your daily work *
Sponsorship requested
Total Amount *
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(Please itemise expenses below)
Travel (economy class) *
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For accommodation *
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For registration *
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