BGRG "Research Design Short Course" Windsor, UK, 8-11 December 2003 APPLICATION FORM for IAG GRANTS Family name: .................................................................... First name: ........................... Date of birth: ................ Address: .......................................................................... Country:  ............................................... Postal code:  ...................... Function and Title: ........................................................................ Tel./Fax.: .................................................................. E-mail: ................................. FIELD AND LEVEL OF STUDY/EDUCATION: ............................................................................................ ............................................................................................ RESEARCH AND/OR PROFESSIONAL EXPERIENCE ............................................................................................ ............................................................................................ I wish to apply for an IAG grant and I enclose: - One page CV, - Title and contents of PhD research project. date ......... signature ...............