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  • Application Form - 11.11.2013

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    This document is a course application form for "The 10th 'How to Get Published?' Course" being held on November 11, 2013 at the Hayward Lecture Theatre Postgraduate Centre at Birmingham City Hospital. It requests the applicant's contact information, current appointment details, dietary requests, and includes information that the course fee is £160, includes lunch and refreshments, and that applications with payment should be returned to Mrs. Debra Carr by October 11 for consideration.

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    The 10th How To Get Published Course form

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    This document is a course application form for "The 10th 'How to Get Published?' Course" being held on November 11, 2013 at the Hayward Lecture Theatre Postgraduate Centre at Birmingham City Hospital. It requests the applicant's contact information, current appointment details, dietary requests, and includes information that the course fee is £160, includes lunch and refreshments, and that applications with payment should be returned to Mrs. Debra Carr by October 11 for consideration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    274 views1 page

    Application Form - 11.11.2013

    Uploaded by

    wmogt
    This document is a course application form for "The 10th 'How to Get Published?' Course" being held on November 11, 2013 at the Hayward Lecture Theatre Postgraduate Centre at Birmingham City Hospital. It requests the applicant's contact information, current appointment details, dietary requests, and includes information that the course fee is £160, includes lunch and refreshments, and that applications with payment should be returned to Mrs. Debra Carr by October 11 for consideration.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Course Application Form

    THE 10th HOW TO GET PUBLISHED? COURSE


    Research Awareness Workshop
    Hayward Lecture Theatre Postgraduate Centre Birmingham City Hospital Dudley Road, Birmingham B18 7QH Monday 11th November 2013 Course organizer: Dr. Ayman Ewies, Consultant Gynaecologist, FRCOG, MSc, MD Please complete using BLOCK CAPITALS FORENAME(S):SURNAME:.. MALE/FEMALE: DATE OF BIRTH: ADDRESS: ... TEL. No. (Day time): E-MAIL ADDRESS: CURRENT APPOINTMENT:... DEPARTMENT:.. POSITION:..... DIETARY REQUESTS:.

    Course Fee: 160.00


    -The course fee includes handout, lunch, tea breaks and refreshments -Car Parking: opposite the venue, 5 for the whole day -Please make your cheque payable to SWBH -Please return complete application form with the cheque to: Mrs Debra Carr Postgraduate Centre Birmingham City Hospital Dudley Road, Birmingham B18 7QH Tel.: 0121-5074798 Fax: 0121-5234562 debracarr@nhs.net

    Limited places apply early Fee will not be refunded for a place that is cancelled after Friday 11 October 2013

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