NMC Travel Bursary Application Form the Form here

2017 NATIONAL MERINO CHALLENGE
TRAVEL BURSARY PROGRAM
ELIGIBILITY
1. All participants and trainers from Western Australia, Queensland and Tasmania.
2. Participants and trainers who require a regional flight and an interstate flight to attend
the 2017 NMC.
CRITERIA – WESTERN AUSTRALIA, QUEENSLAND & TASMANIA
1. You must have registered and paid for the 2017 NMC.
2. You must have booked your flights and attach the receipt.
3. Bursaries will be awarded up to the value of 50% of your travel costs, to a maximum
of $400.
CRITERIA – PARTICIPANTS WITH A REGIONAL FLIGHT AND AN INTERSTATE FLIGHT
1. You must have registered and paid for the 2017 NMC.
2. You must have booked your flights and attach the receipt.
3. Eligible participants and trainers for this bursary are those who need to catch two
flights to attend the NMC (e.g. Port Lincoln, SA to Adelaide, SA, then Adelaide to
Melbourne, VIC).
4. Bursaries up to the value of $200 will be awarded to subsidise the cost of the regional
flights.
PLEASE COMPLETE ALL AREAS ON THE FOLLOWING FORM AND RETURN TO:
AUSTRALIAN WOOL INNOVATION
ATT: EMILY KING
LEVEL 6
155 GEORGE ST
THE ROCKS NSW 2000
[email protected]
0437 523 036
ALL TRAVEL BURSARY APPLICATIONS MUST BE RETURNED BY 5PM FRIDAY, 2 JUNE 2017 TO
BE ELIGIBLE FOR CONSIDERATION. APPLICATIONS MUST BE 100% COMPLETE UPON
SUBMISSION, AS INCOMPLETE TRAVEL BURSARY APPLICATIONS WILL NOT BE CONSIDERED.
2017 NMC TRAVEL BURSARIES PROUDLY SUPPORTED BY
CONTACT DETAILS OF TRAVEL BURSARY APPLICANT
NAME
ADDRESS
TOWN
STATE
CODE
EMAIL
MOBILE
BANK ACCOUNT DETAILS TO DIRECT DEPOSIT TRAVEL BURSARY FUNDS
ACCOUNT NAME
BSB
ACCOUNT NUMBER
FLIGHTS
FROM
TO
TOTAL
$
PLEASE ATTACH YOUR FLIGHT BOOKING RECEIPT TO THIS FORM.
INCOMPLETE TRAVEL BURSARY APPLICATIONS WILL NOT BE CONSIDERED.
KILOMETRES
FROM
TO
TOTAL
TOTAL KM x $0.66
$
DECLARATION:
I confirm that all the above information given by me is true and accurate to the best of my
knowledge and belief. I understand that providing inaccurate information in this application
may result in cancellation of a bursary offer.
SIGNED
DATE
2017 NMC TRAVEL BURSARIES PROUDLY SUPPORTED BY