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press the "Submit Abstract" button. Your information will be forwarded to the ASM Secretariat. Please read carefully through all the information below before completing your form. Selection of offers for scientific sessions is entirely dependent on the quality of the abstract submitted.

An abstract submission form must be completed for each abstract submitted. Please note that all correspondence will be sent to the presenting author.

Prof   Dr   Mr   Ms   Mrs   Miss
Surname
Given Name
Organisation/Company:
Position/Title:
Department:
Postal Address: (Street or PO Box only - do not repeat organization, department etc)
City/Suburb:	State:	Country:	Postcode:
Telephone:	Facsimile:	Mobile:
Email:
Membership: I am or will be (at the time of the ASM) a financial member of HSANZ ANZSBT ASTH I am not a member

Please tick the appropriate box. The Scientific Programme Committee reserves the right to reassign submissions to a different type of presentation: Oral Free Communication presentation only.. Oral presentations are 10 mins + 5 for questions. Poster Presentation only Either Oral Free Communication or Poster presentation (in lieu of oral, poster may be offered on discretion of the committee)

Please tick the appropriate box (one only). The Scientific Programme Committee reserves the right to reassign submissions to a different part of the meeting: HSANZ ANZSBT ASTH NURSES

[LINKformatting] Abstract Title:

File Name (e.g smithp1, smithp2)

Click Browse... to attach abstract in a word document format

Criteria for Awards Please indicate the award category you wish to submit your abstract for. HSANZ Albert Baikie Memorial Medal Date of Birth (required if planning to apply for awards or travel grants): Qualifications: ANZSBT Presidential Symposium Award ASTH Scientific Medal

Criteria for Travel Grants Please note that each individual can only apply for a travel grant from one society and should select the society to which the abstract has been submitted. I also wish to apply for a travel grant: HSANZ/Roche New Investigators travel Grant Date of Birth: (proposers details required) Name of Proposer Organisation Position Contact phone number HSANZ Medical Laboratory Scientists and Nurses Travel Grant ANZSBT Travel Grant ASTH Travel Grant Travel Grant for Non-Member (Please attach a covering letter outlining why funding assistance is required) Click Browse... to attach covering letter in a word document format or posted Do you have access to other means of support from your institution or other granting body to attend the meeting? NO   Yes    Details

Date

If submitting an abstract that contains scientific symbols, a table or a figure, please forward a hard copy to the Secretariat so that a manual comparison can be made.

One form must be completed and submitted for each abstract.

For your reference please print a copy of the form.