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Thank you for offering to provide a reference for an applicant to the Bursary Scheme of the Biritish Division of the International Academy of Pathology.
Use of this form is not mandatory, but may help you to provide the necessary information. Please print out this page, fill in the form legibly, preferably with a typewriter, and post it to:

Dr Nafisa Wilkinson, c/o Mrs Carol Harris, Po Box 73, Westbury-on-Trym, Bristol BS9 1RY, UK. or Fax to +44(0)161 448 1874

BDIAP Bursary: Referee's Report

in support of Dr .............................................. (Please enter name)

Your name:

Your address (For correspondence):

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How long have you known the applicant?................................................................

Please describe briefly your involvement in his / her training.

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Please indicate how the requested period of training will benefit your institution

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Please give a summary of your assessment of the candidate, with particular reference to the candidate's ability to benefit from the requested period of training within the area of the British Division. Contunue on another page if necessary.

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We regret that it may not be possible to acknowledge receipt of applications. Successful applicants will be informed by post.