Entrance hall of the ICMSApplication

Delegate Application Form : UQ2018 - Uncertainty Quantification and Computational Imaging workshop

The closing date for applications is Mar 28, 2018.

Special Instructions

PLEASE NOTE THAT YOU ARE ASKED TO ARRANGE AND PAY FOR YOUR OWN ACCOMMODATION AND TRAVEL. THERE IS A 20 GBP REGISTRATION FEE. ATTENDANCE AT THE DINNER IS OPTIONAL FOR 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

POSTERS: I would like to present my research as a poster. (Please provide a poster title in the ‘Additional Information’ box below)
WORKSHOP DINNER: I am interested in attending the dinner at Tigerlily and agree to cover the 40 GBP dinner cost.

Additional Information

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