Zohair Alhalees Travelling Fellowship Grant

Apply For Grant By Submitting Your Information

All fields are mandatory (*)

Title *

Full Name *

Gender *

Date Of Birth *

Nationality *

Year Of Training / Speciality *

Board Certification Status *

Current Position / Job Title *

Institution / Hospital *

Work Address *

Mobile *

Email *

City Of Residence *

Universities/Institutions Residency & Fellowship Training *

Where do you plan to have your fellowship training? *

Training Goals/Objectives *

Explain how this fellowship grant will help you to achieve these goals? *

Upload Files Pre-Cautions:

* Allowed file type is only PDF (*.pdf)
* Each file allowed only 500 KB file size maximum except last file Copies Of Certifications which is 2000 KB (2MB)
* Last file Copies Of Certifications you will hold all of your certificates in one PDF file and then upload that file

Sponsor Letter 1 (Scan Copy) *

* Only PDF allowed

Sponsor Letter 2 (Scan Copy) *

* Only PDF allowed

Sponsor Letter 3 (Scan Copy) *

* Only PDF allowed

Comprehensive CV (Scan Copy) *

* Only PDF allowed

Copies Of Certifications (Scan Copy) *

* Only PDF allowed

Captha Image Verification *

(Enter same words and digits in text box as in image *all cases allowed)

Terms & Conditions *

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