Registration

To register your attendance at the UCLID 2016 workshop, please complete and submit the form below. The attendence fee is £100 per attendee, which includes payment for the workshop dinner as well as lunches and coffee. A reduced rate of £75 is given to EPSRC CDT students.


Once submitted, you will receive an email confirming your registration. This email will contain a link to the online payment store where the registration fee can be paid. Note that the registration fee must be paid by the 1st September in order to confirm your place at the workshop.


Note that the items marked by an asterisk (*) are mandatory fields.

Personal Details

First Name* :
Surname* :
Badge Name^ :

^Please note that if a badge name is not supplied, then the first name and surnames are used by default.

Contact Details

Address 1* :
Address 2 :
Address 3 :
Address 4 :
City* :
County :
Postcode* :
Country* :

E-mail Address* :
Telephone Number :

Affiliation

Affiliation* :
Research Interests* :

Contribution

If you wish to present a poster at the workshop, please indicate this below and complete the corresponding title field. Note that an abstract is not required.

Poster* : Yes No
Poster Title :

Workshop Dinner

Please indicate whether you will be attending the workshop dinner on Tuesday evening. If attending, please provide us details of any dietary requirements you may have (e.g. vegetarian, gluten free).

Attending workshop dinner?* : Yes No
Dietary Requirements? : Yes No
Details :

Please ensure that all of the entered information is correct before submitting.