IAP Young Physician Leaders Programme

Call for Nominations 2021

Title
Gender
Address

Professional Profile

University attended, degree obtained (BSc, PhD, MD.),dates; location and dates of any fellowships and/ residencies
Max. 200 words and based on requested criteria

Professional, personal/volunteer activities, no more than 200 words required

No more than 200 words required

Logistics

Local costs (accommodation, meals and WHS registration) will be covered by the organizers for successful candidates. Nominating organizations from high-income countries are expected to provide some travel support for their nominees. Partial financial support may be available for candidates from low- and middle-income countries.

Will the candidate require partial travel support from IAP?

Nominator

Affiliation
Title / Name / Surname

Attachments

One file only.
20 MB limit.
Allowed types: pdf.
One file only.
20 MB limit.
Allowed types: pdf.