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Support Us
Search
Close
Home
What we do
Who we are
Our students
Mentoring
Partnering with us
News
Menu
Home
What we do
Who we are
Our students
Mentoring
Partnering with us
News
How Your Information Will Be Used
The information you provide is used to process your travel expense claim
All information on this form is kept confidential
Once we have received your claim you will receive an email confirmation. Should you have any questions, please email
[email protected]
Details
Title:
*
Please Select
Ms
Miss
Mrs
Mr
Reverend
Dr.
Professor
Right Honourable
Baroness
Lord
Sir
Captain
First Name:
*
Surname:
*
Email
*
Cohort
*
2016
2017
2018
2019
2020
2021
Which year did you join the Bursary?
Your relationship with AB
Scholar
Associate
Progressive
University Attending
*
Event Attending
*
Date of Event
*
DD slash MM slash YYYY
Cost of Ticket(s) - (format xxx.yy)
*
Please enter a number from
0.00
to
100.00
.
(e.g. xx.yy)
Receipt Upload (Optional)
Attach Receipt(s)
Drop files here or
Select files
Accepted file types: pdf, doc, docx, jpeg, tiff, Max. file size: 16 MB.
Privacy Policy & Data Retention
*
Please click here to confirm you are happy for us to retain information supplied in your application form.
If you would like more information about how we process your data, please visit: https://www.amosbursary.org.uk/privacy
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