General Information - Application of GSF Application for The Gordon Signy Fellowship of the World Pathology Foundations (WPF) Due Date: June 30, 2008 for the application of the study in calendar year 2009. Please complete and send to the Secretary of WPF by both air mail and E-mail. World Pathology Foundation A) Applicant B) Medical education C) Proposed studies: D) Name and title of head of department supporting the proposed study. I certify that if I am awarded a Gordon Signy Fellowship I will return to the country in which I now practice, to make available to the people of this region the skills I have obtained. The fund granted if I am awarded a Gordon Signy Fellowship is my only claim against the World Pathology Foundation. After the conclusion of the Fellowship, I will send the World Pathology Foundation report of my activities while holding the Fellowship, and an assessment of their value. Date:
Signed by the applicant
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