Registration for the Oxford Conference on Challenges in Applied Mathematics

Title:

First name: *

Family name: *

Please be aware that a list of participants will be produced for the event and may be posted on the web. If you do not wish your details to appear on one or both of these lists please indicate in the "Any other special requirements" section.

Citizenship: *

Please enter your citizenship as per your passport. If you are not a citizen of a country within the EEA (European Economic Area) or Switzerland you may need a visa to travel to the UK. Please refer to the UK Border Agency website (www.ukba.homeoffice.gov.uk/) or your local consulate for more information. If you require a letter of support for a visa application please email occam [-at-] maths [dot] ox [dot] ac [dot] uk

Email address: *

We will use the email address given for all correspondence. If you do not receive an automated response shortly after completing this form it may mean there has been an error during submission. Please resubmit.

Home institution: *

Days of attendance: *

Monday, 1st July (Continuum Mechanics)

Tuesday, 2nd July (Energy and Resources)

Wednesday, 3rd July (Bioscience)

Thursday, 4th July (Methodologies)

Friday, 5th July (Methodologies)

Accommodation

Accommodation assistance: *

Please indicate any nights you may require assistance with accommodation (either advice on sourcing your own accommodation or requesting financial assistance as described below). Invited speakers will have accommodation provided free of charge and arrangements will be made directly. If you are an invited speaker please indicate which nights you require accommodation.

Accommodation advice: *

Yes

If you would like to be sent details of accommodation options close to the conference venue please answer "yes"

Request for accommodation provision (post-doctoral researchers and students only):

If you would like to apply for support for accommodation, please give a brief justification in the box above.

Posters

If you would like to present a poster during the conference please complete the following sections.

Poster title:

Poster co-authors (if applicable):

Poster research area:

Continuum Mechanics

Energy and Resources

Bioscience

Methodologies

Please indicate which of the four conference areas your poster will focus on.

Any other special requirements:

Please indicate any other special requirements you may have.

St Anne's College, Oxford

Monday 1^st - Friday 5^th July, 2013

Organiser: Prof. Alain Goriely

Mathematical Institute

OCCAM

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