Course venue attendance

Course Attendance for Registered Laboratory

“Please note registration is undertaken through the UK NEQAS Microbiology registration process. For more information on registering and costs please email organiser@ukneqasmicro.org.uk”

PRN:*

Your Name*

First

Last

Your Email

Course:

Birmingham - University of Birmingham 7th August (Faecal parasites)

Birmingham - University of Birmingham 8th August (Blood parasites)

Dundee - Ninewells University Hospital 21st August (Faecal parasites)

Dundee - Ninewells University Hospital 22nd August (Blood parasites)

Date:

Number of Attendees:*

First Attendee's name:*

First Attendee's Email:*

Second Attendee's name:

Second Attendee's Email:

Third Attendee's name:

Third Attendee's Email:

Fourth Attendee's name:

Fourth Attendee's Email:

Fifth Attendee's name:

Fifth Attendee's Email:

Do you have a technical query or require advice?

Technical queries will normally be answered during the course delivery. If response is required before then, please make it clear on the form.

Phone (Work)*

Area Code

Phone Number

Phone (Mobile)

Area Code

Phone Number

Word Verification:

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