Fellowship Application

  • Please read the Fellowship Program Overview carefully before filling the application.
  • Please fill out in ENGLISH. Your name should be spelled exactly as it appears in your passport.
  • The information provided will be used to produce invitation letters and other visa documents as necessary.
  • Please ensure that you can secure support for airfare before applying.
  • Please make sure that the information is complete and accurate.

 
We encourage your contribution to APAN's research activities through your active participation.

Salutation Prof. Dr. Mr. Ms.
Last Name (as in Passport)
First Name / Other Names (as in Passport)
Affiliation / Organisation
Position in Organisation
Date of Birth YYYY MM DD
Gender Male Female
Email Address
Citizenship
Postal Address
Country
Please select the country from where you are submitting this application.
Contact Number
Passport Number
Fellowship type Applied With Accommodation Without Accommodation

"With Accomodation": twin-sharing at a hotel determined by the organiser.
"Without Accomodation": you may arrange your own accomodation at your own cost.
Letter of Support for Airfare Airfare will be borne by me.

If your company or some other party is providing support for airfare, please upload a letter from them.

Do you intend to make a Presentation? Yes No
Motivation to participate

Short write up (not more than 5-6 lines) of why you want to attend the APAN conference.
Please make sure that your write up does not exceed 512 characters.
Have you ever received an APAN Fellowship? Yes No
  

Last Updated: 6 Apr 2019 15:41 UTC