SciMe23.jpg

Scientific Meeting and Annual General Assembly 2023 Travel Bursary Claim Form

Thank you for your interest in attending in person at Hamburg (Germany) on 8 June, 2023. We need you to complete your registration, provide us with all the necessary information to process the payment immediately after the event. 

GAAPP will offer a 500€ travel bursary for Organizations based in Europe, and 1000€ for organizations based in the other continents.

Attendee Information

Email: 

Name and surname of the attendee:
Organization:
Describe if you have any dietary restriction for the group lunch:
Which grant are you applying for?          
Grant for Organizations in Europe (€1000)
Grant for Organizations outside of Europe (€2000)

Banking Information for the payment

Name of the Account Holder:

City and Country of Claimant:

Email of the claimant:
Bank name:
Bank Address:
Bank city and country:
Name of the account holder:
Account Number or IBAN:
Please specify:
This is an account number
This is an IBAN number (Europe only)
SWIFT or BIC Code

Any other necessary banking information that we need to know for the money transfer (if applicable for international wire Transfers from Austria):

  • Routing Number:
  • Branch Number:
  • Sort Code:
  • Intermediary bank:
  • Other:
Currency for the payment (GAAPP can only pay in Euros or USD): 
Euros (€)
USD ($)
Consent of use usage of image and Privacy Policy
By digitally completing and submitting this form, I consent to the use of the information above for GAAPP´s administrative and payment purposes.
I grant full rights to use the images uploaded and any reproductions or adaptations of the images for awareness campaign purposes, publicity, or other purposes to help achieve the project goals by GAAPP, its project sponsors, and any third party company involved in the project creation, development, communication, and marketing. I understand that the multimedia assets for this campaign will be displayed on GAAPP´s and the sponsor's website and any other digital communication channels such as social media and newsletters. I have also read and understood GAAPP's privacy policy and data management procedures listed on our website: https://gaapp.org/privacy/
Check all that apply
I agree and consent to the terms above

OPTIONAL:

Invitation Letter

If you need an invitation letter to travel to Germany please complete all the following fields.
 

City and country where you will be flying from:

Full name as in passport:
Passport number:
Passport Issuing Country:
Current address:

If you have any questions on how to submit this form or need additional information you can contact us at info@gaapp.org 

 

 

GAAPP – Global Allergy & Airways Patient Platform

info@gaapp.org Telf:+43 (0) 676 7534200 
Altgasse 8-101130 Vienna, Austria