Please follow us on Twitter @ant_sci_ltd "*" indicates required fields Step 1 of 4 25% Applicant detailsFirst name*Middle nameLast name*Date of birth (DD/MM/YY)DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920E-mail address* Telephone numberFull postal addressFull postal address* Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Primary Research InstitutionOther Research Institution (if applicable)Degrees and awards heldDegrees and awards heldDegreesYear of degreeTitleInstitution BABScMAMScMResMEngPhDOther2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989 Add RemoveOther awards heldTwo page CV and publication list of applicant Drop files here or Select files Accepted file types: txt, rtf, doc, docx, pdf, jpeg, jpg, png, tiff, gif, odt, ott, sxw, stw, xml, sdw, ods, odb, odg, fods, odp, fodp, fodg, Max. file size: 50 MB, Max. files: 2. Research activitiesTitle of existing research project*Source of funding for existing projectDetails of existing research project Upload supporting files File upload Drop files here or Select files Accepted file types: txt, rtf, doc, docx, pdf, jpeg, jpg, png, tiff, gif, odt, ott, sxw, stw, xml, sdw, ods, odb, odg, fods, odp, fodp, fodg, Max. file size: 50 MB, Max. files: 2. Title of extended research project*Details of extended research project Upload supporting files File upload Drop files here or Select files Accepted file types: txt, rtf, doc, docx, pdf, jpeg, jpg, png, tiff, gif, odt, ott, sxw, stw, xml, sdw, ods, odb, odg, fods, odp, fodp, fodg, Max. file size: 50 MB, Max. files: 2. Budget* Supporting documentationGive details for up to two project supervisors and attach their letter/s of endorsement.*Name of supervisorAffiliation Add Remove Include signed letter of endorsement Upload signed letter of endorsement Drop files here or Select files Accepted file types: txt, rtf, doc, docx, pdf, jpeg, jpg, png, tiff, gif, odt, ott, sxw, stw, xml, sdw, ods, odb, odg, fods, odp, fodp, fodg, Max. file size: 50 MB, Max. files: 2. Antarctic fieldwork (optional) Drop files here or Select files Accepted file types: txt, rtf, doc, docx, pdf, jpeg, jpg, png, tiff, gif, odt, ott, sxw, stw, xml, sdw, ods, odb, odg, fods, odp, fodp, fodg, Max. file size: 50 MB, Max. files: 2. Upload a letter(s) of support from National Operators if Antarctic fieldwork is proposed in this project . DeclarationI declare that the above information is correct. Check the boxes below to ensure all necessary sections have been completed.* Endorsement/s by supervisor/line manager A description of my existing research project A description of the proposed extended research/visit A budget justifying the money requested A brief CV and publication list
