List of institutions involved*
Each institution should be listed on a separate line (see the example submission file above).
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First Author's Details
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Title |
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First Name |
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Surname (Family Name) |
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Discipline |
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I am currently a student |
Please tick the box if you are a trainee or student |
Institution(s) where work was carried out (as a list for example 1,3) |
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Correspondence Details
This is where all information will be sent. It is your responsibility to inform the Scientific Department if your details change. |
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Title |
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First Name |
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Surname (Family Name) |
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Institution/Hospital/Company |
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Continued ... |
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Address Line 1 |
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Address Line 2 |
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Town \ City |
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Postcode \ Zip |
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Country |
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Office Telephone |
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Home Telephone |
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Mobile |
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Email |
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*Your email address is VITAL, please check it now and then tick this box to confirm you have entered it correctly.
Please type this email address carefully. It will be used for communicating with you about your abstract.
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Co-author details
The final programme and announcement allows space for nine additional co-authors only. Please complete the details below:
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Co-Author 1 Details |
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Initials |
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Surname |
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Institution - co-author 1 (as a list for example 1) |
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Co-Author 2 Details |
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Initials |
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Surname |
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Institution - co-author 2 (as a list for example 2,1) |
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Co-Author 3 Details |
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Initials |
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Surname |
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Institution - co-author 3 (as a list for example 1,2) |
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Co-Author 4 Details |
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Initials |
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Surname |
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Institution - co-author 4 (as a list for example 3,1) |
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Co-Author 5 Details |
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Initials |
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Surname |
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Institution - co-author 5 (as a list for example 2) |
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Co-Author 6 Details |
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Initials |
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Surname |
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Institution - co-author 6 (as a list for example 3) |
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Co-Author 7 Details |
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Initials |
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Surname |
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Institution - co-author 7 (as a list for example 3) |
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Co-Author 8 Details |
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Initials |
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Surname |
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Institution - co-author 8 (as a list for example 3) |
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Co-Author 9 Details |
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Initials |
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Surname |
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Institution - co-author 9 (as a list for example 3) |
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Tick at least one of the following boxes that apply to your work (commercial interest) * |
I or one of the authors have financial support for the work. If yes, please state the source of funding e.g. charity, MRC:
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I or one of the authors have a proprietary interest in the work. The details are as follows:
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None of the above applies to my work |
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