|
Registration form(To be completed only by
those who have been invited by the Organisers) |
| Subject |
|
Section 1 |
Personal Details |
| Last
Name |
|
| First
Name |
|
| Title |
|
| Status
|
(e.g.
grad student, postdoc, lecturer) |
| Email |
|
| Institution |
|
| Institution's
Address |
|
| Postcode |
|
| Telephone |
|
| Special
requirements |
Please specify any special dietary or
other requirements
|
| Age &
Nationality. |
Information on age and nationality is
needed because of grant restrictions
Are you 35 years of age or under
? yes
no
Nationality
|
Section 2 |
Accommodation |
| Type of
accommodation |
Choose one of the following two
options.
Please reserve me a single bedroom with private
bathroom. I will arrange my own accommodation.
|
| Attendance
dates |
I intend to arrive on (day) (date) and leave
on (day)
(date). |
| Other
Requirements |
If you have any other specific
requirements (e.g. you are travelling with another person, you have mobility
problems, or you need to smoke in your room/have a non-smoking room) please let
us know by entering the information in the text box below.
|
Section 3 |
Presentations If you want to make a formal
presentation at the Workshop, please complete the relevant parts of this
section. The morning slots will last approximately 50 minutes. ICMS has small
black and white boards and an overhead projector. Any other audio-visual
equipment needs to be pre-booked. |
| Title |
|
Preferred
date (or range of dates) |
|
| Additional
audio-visual equipment |
|
|
|