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Application Form

Sharing your visions

Do you have an innovative research idea in the field of Alpha-1-Antitrypsin Deficiency?

In order to participate, please fill in the Letter of Intent (LOI) & Curriculum Vitae (CV) form on this website, specifying if your project is a CLINICAL project or a BASIC Research one.  If you wish to include a figure, it must be added as an additional page to the LOI pdf document and will not be counted toward the character limit.

Should you have any questions regarding the application process, please do not hesitate to contact us.


Letter of Intent

Letter of Intent

Applicant Information (*)

Letter of Intent (*)

Curriculum Vitae (*)

How did you hear about the ALTA Award? (*)

Text to Identify
DATA PROTECTION INFORMATION
Data controller Grifols, S.A.
Purpose To manage and control the participation in the awards you have registered.
Legal basis Consent.
Recipients • Grifols' group companies
• Other third parties
Rights To access, rectify and erase personal data, as well as other rights detailed in the additional information section.
Additional information For additional information on how Grifols processes your personal data, see the privacy note.

(*) Required fields

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**You will receive an email confirmation when your Letter of Intent (LOI) is successfully submitted and registered correctly in the system** 

 

In case you encounter any problems with the registration website, please do not hesitate to contact us.