SRF Fertility Bursary Application

Your Contact Details

Applicant First Name *

Applicant Last Name *

Applicant Email Address *

Please provide your academic email which will be used for all correspondence

Please confirm your email Address *

Job Title *

Organisation *

Contact Number - no space

REGISTRATION REQUIREMENTS

Please indicate the type of registration you will require for Fertility 2026

Full Conference Member Registration – including; associate, honorary and retired members

Undergraduate Student Member Registration** (**Student Member Registration applies to undergraduate, unsalaried students ONLY. The rate entitles Students to attend the full conference)

Council Member

Reproduction Associate Editor

Abstract confirmation

I have submitted/plan to submit an abstract.

I have not submitted an abstract.

Will you be attending the SRF Social Event on the evening of Tuesday 12 January?

Yes

No

Would you like a ticket to the Conference Dinner on the evening of Thursday 14 January? Please check full terms of the SRF Fertility bursary for details.

Yes - you will be charged half the cost as advised in the bursary details

No

Do you have any special dietary requirements?

If you selected other, please advise:

Do you have any accessibility requirements?

Yes

No

Please give details on any extra support you may need.

Are you willing to be contacted by the conference sponsors and exhibitors?

Yes

No

Are you willing to be sent information on other, relevant conferences?

Yes

No

Are you willing to consent to your name, job title and place of work to be included on the delegate list?

Yes

No

Have you attended a Fertility Conference before?

Yes

No

SRF Membership Type

All Full, Associate, Retired*, Honorary* and Student** members who have been SRF members for at least 2 membership years (i.e. must have paid for membership in 2025 and 2026) are eligible to apply. *These members are exempt from membership payment. ** The requirement for the 2 membership years will be waived for first year members who are undergraduate, masters or first year PhD students. Refer to the SRF Fertility bursary on the SRF website for full details. PLEASE NOTE THAT MEMBERSHIP PAYMENTS MUST BE PAID BEFORE APPLICATION

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*Student and Associate Members please indicate your SRF membership status below.

I have been a member of SRF for more than 2 years and have paid for 2025 and 2026 membership.

I am an Undergraduate, Masters or First Year PhD Student and have paid for 2026 membership.

All undergraduate, masters and first year PhD students - please upload a letter of confirmation from your supervisor.

Required upload size: 52.43MB

Supervisor's First Name

Supervisor's Last Name

Supervisor's Email Address

ACCOMMODATION

We advise that all reservations for travel and accommodation are refundable should the conference move to a virtual event. The SRF will not cover any accommodation or travel costs if the full physical attendance meeting is cancelled.

I confirm that I am fully responsible for any accommodation and travel costs I incur if the physical conference is cancelled.

Please tick to confirm

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0 Nights - I live within 30km of the EICC Edinburgh and understand that I am not entitled to accommodation

1 Night

2 Nights

3 Nights

Council Member

TRAVEL

Travel support is offered on a fixed band system and must be confirmed below. This is based on the distance from the town/city of your work to Belfast, Northern Ireland, non UK and Ireland applicants must calculate the distance using https://www.gps-coordinates.net/distance or similar (you will need to copy and paste this link into your browser).

Town/City of your permanent residence

Please advise your travel distance below.

I live within 30km of the ICC BelfastEdinburgh and understand that I am not entitled to accommodation

I live in the UK or Ireland and understand that I will receive up to £75 towards my travel

<1000KM - £150

1001-2000km - £250

2001-3000km - £350

>3001km - £500

Visa – Will you require a visa to travel to Fertility 2027?

Yes

No

How do you plan on travelling to Fertility 2026? Please indicate your main mode of transport.

Further Informaiton

THE SRF Council would like to invite members to furhter engage at Fertility, please indicate if you are willing to help in the following areas.

Choose as many as you wish

Chair - subject areaChair - subject area

Poster Judging

Meet the Mentor

I confirm that if I am offered an SRF Fertility 2027 bursary I will pay for my membership for 2027.

Yes

I confirm that I have read and understood the terms and conditions relating to the SRF Fertility 2027 bursary as outlined on the SRF website.

I confirm

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Your Contact Details

REGISTRATION REQUIREMENTS

SRF Membership Type

ACCOMMODATION

TRAVEL

Further Informaiton

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