3rd   ANNUAL NIHR TRAINEES CONFERENCE
    22-23 September 2009
The Midland Hotel, Manchester
     
     

 

  registration form

To register to attend the conference please complete the form below

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contact details
   
Title * (Prof, Dr, Mr, Ms, other-please state)
   
First name *
   
Last name *
   
Position *
   
Organisation *
   
Address *
 
 
 
   
Postcode *
   
Telephone *
   
Email *
   
   
* I confirm that I am currently an NIHR funded trainee
   
Level of award *
   
Start date *
   
   
Please indicate your attendance at the conference
   
Whole conference
22 September only
23 September only
   
Hotel accommodation will be provided, if required by delegates, for the night of 22 September at the the Midland Hotel Manchester or at the adjacent Radisson Edwardian Manchester Hotel.
   

I will require accommodation

   

I will not require accommodation
   
Specific dietary requirements, eg vegetarian (if applicable please give details)
 
Other needs, eg access (if applicable please give details)

 

research interests
 
Please give details of your research interests. This information will be collated for circulation to other delagates attending the conference for the purpose of collaboration. (250 words maximum)
 
I agree that my contact details can be circulated to other delegates
I do not agree that my contact details can be circulated to other delegates
 

 
poster
 
Please tick the box if you are interested in presenting a poster at the conference
 
If you would like to present a poster at the conference please give a brief abstract (250 words maximum)
 
 
 
message (optional)
 
 
* Please tick box when you are ready to submit your details
 
The data provided on this form will be held on a database in accordance with the Data Protection Act and will only be used under the strict control of NIHR.
 
 
 

CONFERENCE ADMINISTRATION

Professional Briefings
37 Star Street
Ware
Hertfordshire
SG12 7AA

Telephone: 01920 487672
Fax: 01920 462730
Email: bookings@profbriefings.co.uk