Grassland Society of Southern Australia Inc
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GSSA Travel Grant Application

To apply for the GSSA Travel Grant, please complete your application details below.

View Travel Grant Application Guidelines.

PERSONAL DETAILS

Surname:

GIven Names:

Postal Address:

Suburb:

State:

Postcode:

Telephone - Before Hours:

Telephone - AfterHours:

Email:

Fax Number:


PURPOSE FOR WHICH GRANT IS REQUIRED

Please summarise the reason for your application, including places of destination and/or major events to be attended. Outline what you believe will be the benefit to yourself and in turn, to the Society and its members.

Period involved in proposed activity:

From:

To:

Reason for application:

Upload additional information or brochures if you consider it will support your application.


DETAILS OF THE PROPOSAL

Your total estimated costs: $

Major components (estimate):

Conference fees $

Accommodation $

Other major costs $

Does the proposal relate to individual or group activity? (Tick one)

Group

Individual

If group, indicate Group/Organisation involved:

Are you in receipt of/or applying for other Assistance related to this proposal? (Tick one)

Yes No

If YES, provide details:

Any other notes you believe will be of assistance to your application:


I hereby apply for consideration for the Annual Travel Grant and confirm the details provided are correct, and I further agree to abide by all conditions as laid down in the Rules of the Society and Guidelines pertaining to this award.

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