You are registering for the

Delegate Details

First Name
Middle Name

Note: Your name will appear on the certificate exactly as printed above except the title

Job Title
Date of Birth (DD/MM/YYY)

Do you have any special Dietary needs? Please tick one

Yes     No
If yes, please Specify (Information to include any allergies that should be taken into consideration when meals are provided)
Do you have any other special needs (Assistance with access such as ramp for wheel chairs, access to lifts etc)? Please fill the details in the space provided below.

Financed by:

If you have selected company, please download and fill the Sponsor Undertaking form if participants fees are being paid by their institution and send it to with the subject as 'Company approval for first-name surname'.

If financed by Company, enter Company’s TAX Number (PIN/VAT):

Invoicing Address:
Postal Code:
Telephone No:

Where did you hear about us?

If other, kindly specify