Entrance hall of the ICMSApplication

Delegate Application Form : KNOPS-CARR - Nonlinear analysis and the physical and biological sciences (in honour of Jack Carr)

The closing date for applications is Feb 28, 2018.

Special Instructions

PLEASE NOTE THAT YOU ARE ASKED TO ARRANGE AND PAY FOR YOUR OWN TRAVEL AND ACCOMMODATION. A 45 GBP REGISTRATION FEE APPLIES AND ATTENDANCE AT THE DINNER WILL INCUR AN ADDITIONAL FEE OF 40 GBP.

Personal Details

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

Dates of attendance at event

Date of Arrival:
Date of Departure:

Additional Information

WORKSHOP DINNER: I would like to attend the dinner (fee of 40 GBP payable). If you plan to be accompanied to the dinner, please indicate this in the "Additional Information" box below.
STUDENTS: I am a postgraduate student and wish to apply to have the registration fee waived.
POSTERS: I would like to present a poster. Please provide a poster title in the Additional Information box below.

Additional Information

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