ACCEPTANCE/ DECLINATION STATEMENT (SELF DECLARATION) OF THE AWARDEE AWARDEE: SUPERVISOR: NOTE: Please ensure that the information is correct. Your supervisor will be contacted by CANTRAIN-AWARDS. AWARD: NOTE: Can start anytime between October 01, 2023, and March 31, 2024 (studentship duration 1 year from NOA offer) PROJECT TITLE: PROJECT LOCATION: Institute where the proposed study will be carried out: TRAINING LOCATION: Name of university (administering organisation) where you, the awardee, is/ will be pursuing training Please complete the details of the RESEARCH OFFICE (University or Research Institute, as applicable) where the stipend will be sent NOTE: Please ensure that the information is correct. The contact person will be contacted by CANTRAIN-AWARDS. In consultation with my supervisor, I accept this awardI decline this award. But you can still include this award in your CCV. PREFERRED START DATE: I, the undersigned AWARDEE,, hereby acknowledge having read and understood this document and I accept the terms and conditions of awards set out in this letter. By accepting this award, I also undertake to respect all policies and procedures of CANTRAIN as they are and as they may be modified from time to time. I DO NOT hold a CIHR studentship award/ stipend/ bursary for 2023-23I hold a CIHR studentship award/ stipend/ bursary for 2023-24 I hold another studentship award/ stipend/ bursary for 2023-24* *NOTE: CANTRAIN studentship award/ stipend/ bursary is cumulative I agree to follow the mandatory: e-Learning/e-Training modules/courses and mentoring activities. Signed in: , this day of , 2023. Δ