Inaugural Registration Form - Professor Steven Julious

Professor Steven Julious, Professor of Medical Statistics

Wednesday 22nd May 2013 - 17:15 to 18:00

Welcome to the Inaugural Lecture Online Registration Form. Please complete the form, ensuring that all required fields are entered.

Please note that data submitted via this form will be stored for administration purposes. By submitting data via this form you are giving your permission for this data storage.

Data is being collected by the event organisers and administrators to facilitate registration for this event.

First Name (required)

Last Name (required)

Title (e.g. Professor, Mr, Mrs) (required)

Position (e.g. Lecturer, Researcher) (required)

Department/Name of Organisation (required)

Email Address (required)

Telephone Number (including area code) (required)

Attendance at Wine Reception (required)

1. Yes
2. No