Entrance hall of the ICMSApplication

Delegate Application Form : 1605-WEL - New directions in the higher infinite

The closing date for applications is Apr 28, 2017.

Special Instructions

PLEASE COMPLETE THIS FORM TO APPLY FOR A PLACE AT THE MEETING. YOU WILL BE NOTIFIED OF THE ORGANISERS' DECISION BY FRIDAY 12 MAY 2017 AT THE VERY LATEST. SINGLE EN-SUITE ACCOMMODATION WILL BE PROVIDED (ARRIVAL SUNDAY, DEPARTING FRIDAY). YOU ARE ASKED TO ARRANGE AND PAY FOR YOUR OWN TRAVEL. A 270.00 GBP REGISTRATION FEE IS PAYABLE BY ALL. (PLEASE NOTE THAT NO FINANCIAL SUPPORT IS AVAILABLE TO ASSIST WITH THE REGISTRATION FEE).

Personal Details

Date of Birth:*
Please specify any dietary or other requirements.

Dates of attendance at event

Date of Arrival:
Date of Departure:

Accommodation

Please select one of the following options:
Accommodation Dates:
Please try to give dates at the time of application. If you cannot do this now, please send your dates as soon as possible to ICMS by email.
Date of Arrival at Accommodation:
Date of Departure from Accommodation:

Additional Information

1) ALL APPLICANTS: Please provide a brief synopsis (a sentence or two) about your research interests here:
2) STUDENTS: Please provide the name of your advisor and the topic of your PhD research here:
3) POSTERS: If you wish to present a poster, please provide a provisional title here:
4) ACCOMMODATION SHARING: We have a very small number of twin-bedded rooms available. If you wish to share a room, please indicate the NAME of the person you wish to share with here:
5) TRAVEL: I understand that I must arrange and pay for my own travel (please tick box).

Additional Information

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