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For clarity please type your details |
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| Family Name: | . | Given Name: | . | ||||
| Affiliation:
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| Address: | . | ||||||
| Town: | . | Post code: | . | Country: | . | ||
| Telephone: | . | Fax: | . | ||||
| E-mail: | . | ||||||
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(tick appropriate box) |
Yes [ ] | No [ ] |
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(tick appropriate box) |
Yes [ ] | No [ ] | (Official confirmation of student status required: Please attach) | ||||
COMPLETE THIS BOX IF YOU ARE SUBMITTING YOUR ABSTRACT VIA E-MAIL
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YES [ ] NO [ ] (Tick appropriate box) |
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| Date of Transmission: |
(d/m/y)
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Attachment Name: | . |
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For clarity please type or PRINT your details |
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| Title of
presentation:
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| Author(s):
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| Please
consider my abstract for:
(Choose either oral or poster- not both) |
[ ] Oral presentation | [ ] Poster presentation | |||
| My abstract relates to oral session (choose # 1-12): | [ ] | ||||
| I
agree to have my submission for an oral presentation changed into a poster
presentation if necessary:
(only relevant to abstracts submitted for consideration as oral presentations) |
[ ] Yes | [ ] No | |||
| Signature: | . | Date: |
(d/m/y)
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| SENT COMPLETED ABSTRACT FORMS AND ATTACHED ABSTRACTS (OR FILE NAME OF E-MAIL ATTACHMENTS) TO: | Dr. Maura
Hiney
Office of the Dean of Research National University of Ireland, Galway Galway City Ireland Tel: +353 91 524411 ext.:
3124
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Last updated: 20th December 2000