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Name

Department

Job Title

E-Mail

Phone

Staff/Student/Alumni/Local

Will you be bringing a guest?

Do you have a specific interest or involvement with Global Governance or the wider Global Research Priorities Programme?

Please select your choice of breakout group discussion topic.

If you have a question or idea related to Global Governance you can enter it here.

Do you have any dietary requirements that should be taken into account?|Do you have any dietary requirements that should be taken into account?

Do you have any access requirements or conditions of which you wish to make us aware?|Do you have any access requirements or conditions of which you wish to make us aware?

Please note that a photographer will be present to capture general images of the event and the event will be voice recorded (not breakout session discussions) for Warwick promotional purposes only.

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