| Name: |
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| School: |
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| Course of Study: |
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| Email Address: |
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| Student Number: |
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| Telephone: |
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| Date of booking: |
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| Start Time of booking: |
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| End Time of booking: |
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| Type of Event: |
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| Is this event open to all PG Students?: |
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| Please highlight the number of expected attendees: |
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| Do you require the use of a computer facility? |
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| Do you require the use of a plasma screen? |
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| Please highlight any further information that you feel is relevant in the text box below |
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Please be aware that this request does not constitute a confirmed booking. You will be contacted by email to confirm details. |