|
Registration FormAll participants should
complete Sections 1 to 3. Those applying for the financial support should
complete Section 4. ONLY THOSE WHO HAVE BEEN INVITED BY THE ORGANISERS SHOULD
COMPLETE THIS FORM. OTHERS WILL NOT BE PROCESSED
* indicates required
field |
Section 1 |
Personal Details |
| *Last
Name |
|
| First
Name |
|
| Title |
|
| *Email |
|
| *Institution |
|
| *Department
and Institution's Address |
|
| Telephone |
|
| Special
requirements |
Please specify any special dietary or
other requirements
|
Section 2 |
Dates of Attendance |
|
I expect to arrive on
* (day of the week)
* (date i.e. dd/mm/yy)
and leave
on
* (day of the week)
* (date i.e. dd/mm/yy) .
|
Section 3 |
Method of PaymentPlease choose one of the
following options : |
|
I
will pay by cheque or bankers draft in sterling
I will pay
by credit/debit card (add 1.75% for credit card)
|
Section 4 |
Request for Financial Support You may request
support only if you are either (a) a PhD student at a UK HEI or (b) if
you are employed in a mathematical department in a UK
HEI.
Please choose one of the following options:.
|
|
I am a PhD student in a UK HEI and wish to apply for an award that will reduce
the Registration Fee to £20 (which I understand remains payable by me)
and will reimburse, against receipts, up to £200 of accommodation,
subsistence or travel.
I employed in a UK HEI and wish to apply for an award that will reduce the
Registration Fee to £20 (which I understand remains payable by me) and
will reimburse, against receipts, up to £150 of accommodation,
subsistence or travel. |
|
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