Entrance hall of the ICMSApplication

Delegate Application Form : INI SATELLITE 2017 - Growth, form and self-organisation in living systems

The closing date for applications is Sep 9, 2017.

Special Instructions

YOU ARE ASKED TO ARRANGE AND PAY FOR YOUR OWN TRAVEL AND ACCOMMODATION (IF YOUR APPLICATION IS APPROVED). THERE IS A SMALL AMOUNT OF MONEY AVAILABLE TO SUPPORT TRAVEL TO DUNDEE IF REQUIRED - TO BE CONSIDERED FOR THIS FUNDING, PLEASE PROVIDE DETAILS OF YOUR REQUIREMENTS IN THE BOX AT THE FOOT OF THIS FORM. ALL ACCEPTED APPLICANTS ARE ASKED TO PAY A REGISTRATION FEE OF 100 GBP. THERE WILL BE A WORKSHOP DINNER ONE EVENING - ATTENDANCE IS OPTIONAL AND COSTS 40 GBP - IF YOU ARE INTERESTED IN ATTENDING THE DINNER, PLEASE INDICATE THIS ON THE FORM AND YOU WILL BE CONTACTED ONCE FURTHER DETAILS ARE AVAILABLE.

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

CONTRIBUTED TALK: If you would like to present a contributed talk, please provide a title and abstract here:
POSTER: If you would like to present a poster, please provide a title and abstract here:
DINNER: If you would be interested in attending a workshop dinner at a cost of 40 GBP, please indicate here (details to follow later):

Additional Information

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