Supervisor Details

Name:

Address 1:

Address 2:

Town:

Postcode:

Country:

Phone Number:

Email:

Supervisor Contact Discussed:
YesNo

Student Details

Name:

Institutional Affiliation:

Student's Status:

Is a BAJS member:
YesNo

Student Address

Address 1:

Address 2:

Town:

Postcode:

Country:

Phone Number:

Email:

Event Details

Event:

Location:

Start Date

End Date

Funding Details

Paper Title:

Approximate Cost::

Funding from Other Sources::

Other Sources Info: