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Registration Form


Please complete this form in full and then click on the blue button at the bottom of the page to pay your £10 registration fee. Your registration will not be complete until you have paid your conference fee. If you know the details of the two guests you want to invite to the conference please include thier details below (you will have a further chance to register guests if you have not yet decided who you would like to invite):
 
If yes, please complete the following 3 boxes as appropriate:

 
Guest 1 details:
 

 
Guest 2 details:
 
Please note that this event may be recorded in a variety of ways (e.g. video, still images, audio), with the resulting media subsequently used in such ways as the Institute for Advanced Teaching and Learning sees fit. If you would prefer not to be recorded, please make yourself known to the organisers on the day.
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Privacy statement
This form will be used to manage your attendance at the Monash-Warwick International Conference of Undergraduate Research 2013. 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.
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