Conference fee payment request form
{"elements":[{"isDiscrete":false,"hidden":false,"name":"Name of conference attendee ","readOnly":false,"id":636525049,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Cohort","readOnly":false,"id":636522379,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please provide your pronouns for your booking","readOnly":false,"id":636522385,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Your Preferred Contact Number ","readOnly":false,"id":636522391,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email address","readOnly":false,"id":636522399,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Emergency Contact Name","readOnly":false,"id":636522405,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Emergency Contact Number","readOnly":false,"id":636522410,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Project Code (RTSG)","readOnly":false,"id":636522416,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Approving Supervisor","readOnly":false,"id":636522425,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please enter name of conference being booked","readOnly":false,"id":636522431,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Dates of conference","readOnly":false,"id":636522435,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please copy and paste the website address for the conference","readOnly":false,"id":636522479,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"LOG IN DETAILS If you have already registered an account on the conference website please provide your log in details (so that we can complete registration / payment). ","readOnly":false,"id":636522502,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Membership Details: i.e IOP/IMECHE/ICE etc username and password. If no membership please type N/A ","readOnly":false,"id":636522509,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Cost of Registration and currency","readOnly":false,"id":636522519,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please state your registration type and any additional workshops dinners or other extras that will also need booking","readOnly":false,"id":636522542,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please state any relevant dietary requirements ","readOnly":false,"id":636524812,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please state any relevant allergies","readOnly":false,"id":636524814,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Please state any access requirements","readOnly":false,"id":636524816,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Will you require accommodation THROUGH THE CONFERENCE PROVIDER ","readOnly":false,"id":636524819,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"If you ticked YES please provide details of accommodation (if you want a separate hotel please complete the relevant form) ","readOnly":false,"id":636524940,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Other notes or comments","readOnly":false,"id":636524950,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"No","value":"0-no"},{"text":"Yes please request an invitation letter from the host","value":"1-yespleaserequestaninvitationletterfromthehost"},{"text":"Yes I will need a supporting letter from HetSys for my visa appointment","value":"2-yesiwillneedasupportingletterfromhetsysformyvisaappointment"},{"text":"Yes but no help required","value":"3-yesbutnohelprequired"}],"name":"Visa requirements","readOnly":false,"id":636524990,"type":"checkboxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I confirm that this is an eligible booking","value":"0-iconfirmthatthisisaneligiblebooking"}],"name":"Please tick this box to confirm that the travel you are booking is eligible under the terms of the project or cost code which you are using","readOnly":false,"id":636524995,"type":"checkboxElement"}]}