Section A – Personal Details
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Title:
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First Name
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Surname
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Gender
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Male
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Female
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Address for correspondence
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Postcode
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Telephone number
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Email address
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Section B – Employment Details (if currently employed)
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In what type of organisation do you currently work?
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University/College Research Institute (e.g. NatCen, NFER)
Government/other public-sector organisation Private-sector organisation
Voluntary-sector organisation Other (including freelance)
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Name of employer
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What is your current position?
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Early Career Researcher (e.g. Research Officer, Research Fellow, Lecturer etc.)
Senior Researcher (e.g. Senior Research Officer, Senior Lecturer etc.)
Professor/Reader/Head of Unit/Director
Other (please specify)
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Section C – Student Details (for current students)
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Type of degree which you are registered for
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First Masters degree Doctoral degree
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Name of degree
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Full-time or part-time
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Full-time Part-time
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The institution at which you are registered
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Section D – Expertise (Please circle appropriate number)
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01 Area Studies (AS)
02 Demography (DEM)
03 Economic and Social History (ESH)
04 Economics (ECON)
05 Education (EDUC)
06 Environmental Planning (PLAN)
07 Human Geography (GEOG)
08 Linguistics (LING)
09 Management and Business Studies (MBS)
10 Political Science and International Studies (POL)
11 Psychology (PSY)
12 Social Anthropology (ANTH)
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13 Social Policy (SOP)
14 Social Work (SW)
15 Socio-Legal Studies (SLS)
16 Sociology (SOC)
17 Science and Technology Studies (STS)
18 Statistics, Methods and Computing (SMC)
Disciplines outside the Social Sciences
19 Arts and Humanities
20 Biological Sciences
21 Engineering and Physical Sciences (includes Astronomy and Particle Physics)
22 Environmental Science
23 Medical Sciences
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Highest Qualification
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Bachelors degree Masters degree
Doctoral degree None of these
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Section G – Disability Related Requirements
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Do you have any disability which may require special arrangement of facilities (please give details)
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Section H – Dietary Requirements
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Do you have any special dietary or other requirements
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If you would like to be notified of future Qualiti/NCRM events please tick the box
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Section I – Registration Fee
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Pick Tick:
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Reduced fee for Post Graduate Students £20
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Reduced fee for those from academic institutions / ESRC Researcher / Charity £40
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Standard Fee £175
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Section J – Please indicate payment method
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Cheque
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Please make cheque payable to Cardiff University
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Credit Card
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Card Number:
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Please Select Card Type:
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Mastercard / Visa / Delta / Switch
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Expiry Date:
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CVV Number (3 digits on reverse of card):
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Address which card is registered:
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Invoice
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Purchase Order Number:
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Invoice Address:
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