Title * (required)

Surname * (required)

First name * (required)

Institution/organisation * (required)

Department * (required)

Post/position/course * (required)

Address * (required)

Telephone

E-mail * (required)

Please outline any special dietary requirements:

Please indicate any access / disability requirements:

Please select the fee which applies to you (if you need to pay for your conference dinner separately, please select one of the ‘no conference dinner’ options below and complete your registration, then follow the link from the main BCUR 2012 page): * (required)

Privacy notice

This form will be used to manage your attendance at the British Conference of Undergraduate Research 2012. Your attendance at the event will be recorded and associated with your name, but no other personally identifiable data will be stored and your data will not be used for any purpose other than as a record of the event, unless you have given your permission above.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.