Call for Nominations for Chair, Membership and ...
EFLM bursary application form
5th EFLM Conference
on Preanalytical Phase
Zagreb, 22-23 March 2019
Please send this form as DOC or PDF file (no jpg or other formats)
PERSONAL INFORMATION
Name and Surname:
Date of birth:
Place of birth:
Citizenship:
Permanent address:
Job Address:
Telephone:
e-mail:
Number of accepted abstracts presented as First Author: ......
(if accepted as oral communication, please indicate it)
WORK EXPERIENCE (starting from the current position)
......
EDUCATION AND TRAINING (starting from the more recent one)
......
PRESENTATIONS AT NATIONAL/INTERNATIONAL CONGRESSES (if none, please indicate “None”)
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MEMBERSHIPS (if none, please indicate “None”)
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LIST OF PUBLICATIONS (if none, please indicate “None”)
Each article or abstract should be cited as recommended in CCLM ‘Instruction for authors’
Papers in International Journal - Please also indicate the Impact Factor (IF) when applicable.
......
Papers in Domestic journal - Please also indicate the Impact Factor (IF) when applicable.
......
Abstracts in International Journal
......
Abstracts in Domestic Journal
......
AWARDS (if none, please indicate “None”)
......
ANY FURTHER INFORMATION THAT YOU WISH TO MENTION
......
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