Title

First Name *

Last Name *

Date of Birth *

Citizenship * (please list all you may hold)

Affiliation *

Your Email *

Which initiative are you representing? *
APARC SSGAPARC ActivityWCRP Groupexternal partner

I plan to participate the SSG meeting in person on the following days: *
TuesdayWednesdayThursday

I plan to participate the SSG meeting online on the following days: *
TuesdayWednesdayThursday

Do you have any dietary requirements? (e.g. Vegetarian)

Do you have any accessibility requirements?

Would you like to attend the conference dinner in Leeds on XXX evening?
noyes

Invitation letter for VISA application required?
noyes

As usual, limited amount of travel support is available. Please indicate whether you would benefit from this support, and use the comment field to indicate the expected amount of travel support required.

Do you require travel support?
noyes

Do you want to see any specific topics to be included in the agenda? If yes, please indicate by using the comment field.

Comment (max. 100 words)

Privacy *
I have read and understand the privacy statement.

The information given above will be used by APARC and only be shared with the local organising committee for the purpose of meeting preparations.

A simple math captcha quiz for you *
30+2=?

* Indicates required field