If you wish to apply for this grant, please complete the following and return to AIATSIS by Monday 18 April 2016. Applicant details Applicant Name: Organisation: Address: Phone: Mobile: Email: Fax: NTRB and PBC Information Are you Indigenous? Do you have a What is your role in the current claim? native title group? Aboriginal Yes No Yes No Applicant Torres Strait Islander Yes No Traditional Do you have a Owner What native title group are you from: determination? ___________________________________ PBC Director Yes No Have you previously been sponsored to PBC Member attend the conference? Do you have a Yes No PBC? Other: ___________________ Yes No Travel information Departure date:_________________________ Return date:_____________________________ Departure destination/airport:: Return destination/airport: ________________________________________ ________________________________________ Means of travel: Any other travel requirements: ________________________________________ ________________________________________ Accommodation and allowance Do you require accommodation? Do you require meals allowance? Yes No Yes No Accommodation Dates: Any special accommodation requirements? Conference registration
If you wish to apply for this grant, please complete the following and return to AIATSIS by Monday 18 April 2016. Applicant details Applicant Name: Organisation: Address: Phone: Mobile: Email: Fax: NTRB and PBC Information Are you Indigenous? Aboriginal Yes No Torres Strait Islander Yes No What native title group are you from: ___________________________________ Have you previously been sponsored to attend the conference? Yes No Do you have a current claim? Yes No Do you have a determination? Yes No Do you have a PBC? Yes No What is your role in the native title group? Applicant Traditional Owner PBC Director PBC Member Other: ___________________ Travel information Departure date:_________________________ Departure destination/airport:: ________________________________________ Means of travel: ________________________________________ Return date:_____________________________ Return destination/airport: ________________________________________ Any other travel requirements: ________________________________________ Accommodation and allowance Do you require accommodation? Yes No Accommodation Dates: Do you require meals allowance? Yes No Any special accommodation requirements? Conference registration