Fiona & John Mallard Trust

Please note the application deadline of 28 July 2026.

Consent for storing submitted data *

Yes, I give permission to store and process my data

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First Name *

Surname *

Email *

Daytime Phone Number *

Your preferred number, can be a mobile

IPEM Membership Number (if applicable)

Current place of work (Full address) *

Hospital, university, company etc.

Which conference would you like to attend? *

• EFOMP’s European Congress of Medical Physics, Valencia, 23-26 September 2026

• IPEM’s Science, Technology and Engineering Forum, Manchester, 12-13 October 2026

Explain in no more than 300 words why attendance at this conference will enhance your career *

Title of paper to be presented, if applicable

Any other involvement in conference e.g. chairing a scientific session

Referee details (Name, connection to applicant and contact details) *