| Personal details |
Note: If any of the fields below do not apply to you, please leave the dash (-), otherwise the form will crash, and you will have to make another subsequent attempt. |
| (* denotes required field) |
| Title: | |
| (*) Family name: | |
| (*) First name/s: | |
| (*) Affiliation: | |
| City: | |
| (*) Email address: | |
| Number of accompanying persons, not including yourself: | |
| The recommended arrival date is the afternoon/evening of Tuesday 18th November. |
| Arrival Date: | |
| The recommended departure date is the afternoon of Friday 21st November. |
| Departure date | |
| If you are a student, who is your supervisor? | |
| If you do not attend the meeting with family members, please provide, if possible, name of person with whom you prefer to share your room | |
| If you require van transportation from Auckland to Whitianga prior to the conference, how many people? | |
| If you require van transportation from Whitianga to Auckland after to the conference, how many people? | |
| What kind of postgraduate student are you? | |
| Would you like us to provide your accomodation? | |
| Please tell us if you have any special dietary requirements: | |
| Please describe any special medical conditions which we should be aware of: | |
| Please add anything else which you would like to mention: | |