
Safety 2010 Conference CMS

View / Edit Scholarship Submission

Email: *
Surname: *
First Name: *
Job Title: *
Institution': *
Address *	Department of Politics and Public Administration, IDE, University of Madras, Chepauk, Chennai-600 005. Tamil Nadu, India.
Post/Zip Code *

Type of financial support requested*	Registration fee Partial Registration fee (£300) Accommodation Travel
Do you intend to submit an abstract or a film/photo exhibit?*	Yes No
Title of Exhibit
Is the applicant a participant of the WHO MENTOR-VIP programmes?	Yes No
Are you a WHO Focal Point for Injury or Violence Prevention?	Yes No
If your application was successful, would you like to take part in the Safety 2010 mentoring programme?	Yes No
Personal submission e.g. How would attendance at the safety 2010 conference help you to improve the prevention of injury and the promotion of safety in your locality?	Abstract will be sent very soon Thanking you, Yours Sincerely, Dr.R.Mathaiyan
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