FIRST NAME ..................................................................................

Nationality ...................................... Male/Female*

MAILING ADDRESS of Home Institute or Place of Work

......................................................................................................................................................................... ......................................................................................................................................................................... .............................................................................................................

Telephone No ............................................................. Fax .....................................................

There will be a fee of 50ukp excluding accommodation. Cheques should be made payable in sterling to: CCLRC Daresbury Laboratory (the DL VAT registration No. is 232-5338-83).

If you are applying for sponsorship please do not send cheque with application form.

1. ACCOMMODATION

The accommodation charge for a single study bedroom is 25ukp per person per night (bed and breakfast). Participants who wish to take advantage of this accommodation must include payment with their registration form unless they are applying for sponsorship. (Cheques should be made payable to CCLRC, Daresbury Laboratory.)

I will require accommodation at University of Reading for the nights of:

a) Thursday 8 January YES/NO

b) Friday 9 January YES/NO

If any further accommodation is required, please specify:

.............................................................................................................................................

2. SPECIAL REQUIREMENTS

Please specify any special requirements such as diet, disability etc.

......................................................................................................

* Please delete where inapplicable

3. SPONSORSHIP

Please complete the following section if you wish to apply for a bursary.

* Student / Postdoc / Other .......................................................... Age ......................

Please state source of funding (e.g. EPSRC, MRC, Case, Industrial etc)

............................................................................................................................................

I wish to apply for CCP4 funding *YES / NO

CCP4 funding is available for students and young post doctoral fellows. This will be used to cover the registration charge in all cases and to provide help towards accommodation charges. In addition limited funds will be made available to help pay travel costs for students and young post-docs from European Laboratories. Please enclose a separate letter, signed by your supervisor and including the expected cost of travel in [[sterling]] sterling, to justify applications for travel support. Delegates are expected to travel by the most economic means possible. Candidates from less favoured regions will be given preference.

** (TO BE COMPLETED BY INVITED SPEAKERS ONLY) **

Please indicate the date, name of station or airport and time of arrival and departure including your flight number (if relevant):

ARRIVAL DEPARTURE

DATE .................................. ........................................

STATION/AIRPORT .................................. ........................................

TIME .................................. .......................................

FLIGHT NO .................................. ........................................

FROM/TO .................................. ........................................

Please complete and return this form by 14 November 1997 to:

The Conference Office
CCLRC
Daresbury Laboratory
Warrington WA4 4AD
Cheshire