IPNA 2027 Congress Grant Application Form

IPNA CONGRESS TRAVEL GRANT APPLICATION
Personal Details
Name

TitleFirst nameLast name
Email
example@example.com
WhatsApp number
Country of Citizenship
Date of birth

DayMonthYear
Date
Gender
I confirm I am an active IPNA Member
Have you had a previous grant for an IPNA Congress?
Where are you working now?
Institution

Institution name

Street

CityState / Province

Postal / Zip Code
Country
Position
Describe your experience in pediatric nephrology and key achievements to date.

0/250
How will participation in the IPNA Congress help you and your institution?

0/250
Abstract Details
Have you submitted any abstracts for IPNA2027?
Abstract numbers

e.g. IPNA27-12340/250
I confirm I have read the Eligibility and Selection criteria on the IPNA2027 Website www.ipna2027.org
Should be Empty:

IPNA CONGRESS TRAVEL GRANT APPLICATION