Entrance hall of the ICMSApplication

Delegate Application Form : KE_ECMI - Knowledge Exchange Community Meeting - Industrial Maths in Action

The closing date for applications is Sep 1, 2017.

Special Instructions

IF YOU WISH TO APPLY FOR ONE OF THE FUNDED ACCOMMODATION PLACES, PLEASE COMPLETE THE ACCOMMODATION SECTION OF THE FORM.

Personal Details

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

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

Please select this box if you are planning on attending Day 1 AND Day 2
Please select this box if you are planning on attending Day 1 only
Please select this box if you are planning on attending Day 2 only

Additional Information

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