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About
QLDPC/Photonics Workshop
Page 1 of 3
Closes
16 Feb 2025
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Introduction
1. Your full name
Full Name
(Required)
2. Email address
Email
(Required)
3. Affiliation
Job title
(Required)
4. Affiliation category
Affiliation category
(Required)
-- Please Select --
Government
Academic
Commercial/business
Charities
NHS trust
5. Do you have any dietary requirements?
(Required)
Yes
No
If yes, please specify
6. Do you require any special assistance or accessibility accommodations?
Yes
No
If yes, please specify
7. Will you be driving to the event venue?
Yes
No
If yes, please indicate the vehicle registration details
8. Do you consent to being photographed or filmed during the event for media and promotional purposes?
(Required)
Yes
No
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