Mycology Bioimaging Initiative Workshop ‘Imaging the Fungal Cell’

Your name

Your email address

Your institution

Mobile number (including country code)

Country of residence

We will provide accommodation for non-local participants (i.e. people traveling from outside of Cape Town). How many nights of accommodation will you require? We can provide accommodation from the night before your workshop starts until the day it ends. One additional night after the workshop will only be considered in exceptional cases where you are unable to travel home after the last day of your workshop concludes.

27 July - 7 August

27 July to 1 August

3 August to 7 August

I live in Cape Town and will not require accommodation

OtherOther

Do you have any specific mobility requirements for the accommodation (i.e. wheelchair accessible)?

Yes

No

Please specify your mobility requirements

If you are staying over the weekend, would you like to participate in a social group activity on 2 August?

Yes

No

Would you still like to participate if this is a physical activity (i.e. hike or nature walk)?

Yes

No

OtherOther

Emergency Contact Name & Relationship

Emergency Contact Phone & Email

Please confirm your dietary requirements

Please note that participants will need to ensure they meet any visa requirements and will need to arrange this themselves. The Mycology Bioimaging Initiative Team can assist with the supply of formal documentation in support of visa applications (i.e. letter of invitation, confirmation of accommodation and subsistence support). Do you need supporting documents for a visa application?

Yes

No

Please note that you will be responsible for making your own arrangements for travel insurance and any health or vaccination requirements.

Yes, I understand

Travel Grant Application

The Mycology Bioimaging Initiative and Africa Microscopy Initiative offer travel support to successful applicants who lack institutional travel funding. The support covers round-trip travel including airfare which will be booked and paid for by the organizers. You will also be able to apply for the reimbursement of any visa application fees. Would you like to apply for a travel grant?

Yes

No

Please indicate whether your attendance is contingent upon receiving travel support

I will attend only if I receive a travel support

I will attend regardless of travel support

Personal information and travel preferences for travel booking

Please indicate your travel preferences and requirements here. Although we aim to accommodate these preferences, we can not guarantee that all preferences will be met.

Your full name and surname as it appears on your passport/identity document

Date of birth

Nationality

Passport number (if you are traveling in-country and don't need your passport for the journey, you can put "N/A")

Passport expiry date (if you are traveling in-country and don't need your passport for the journey, you can put "N/A")

Departure City & Airport

Preferred Departure Date & Time

Preferred Return Date & Time

Preferred Airlines (if any)

Frequent Flyer Membership Details (if any)

Special Assistance Needs (e.g. wheelchair or other mobility requirements)

Baggage requirements

I require hold/ checked luggage (restricted to 1 bag and subject to airline regulations for size and weight)

I require carry-on/ hand luggage only (subject to airline regulations for size and weight)

Uploads

Letter of support from Head of Department or equivalent

Maximum file size: 516MB

If you are unable to upload this letter at the time of submission, you can email it to us directly on failsafe@exeter.ac.uk. Please put "Letter of Support for MBI workshop" in the subject field.

CV (2 pages max)

Maximum file size: 516MB

Copy of biographical page of passport / identity document

Maximum file size: 516MB

By submitting my confirmation of attendance and/or my travel grant application, I understand and accept that personal data relating to myself may be processed by the University of Exeter in relation to my application. If you would like further information on how we process your personal data please see our privacy policy: https://cmm-failsafe.com/failsafe-network-privacy-notice/

Yes, I understand and agree