Southampton INSPIRE Academic Society
5th National Undergraduate Medical Research Conference

Southampton General Hospital, South Academic Block, Tremona Road,Southampton, SO16 6YD

9th February 2019

Registration Form

infoPlease ensure that you enter your name accurately since it will be printed on your name badge and certificate.

E.g., Anthony Mathew Jones (first name in red)
E.g., AnthonyMathew Jones (middle name in red)
E.g., Anthony MathewJones (last name in red)
All future correspondence regarding the course will be sent via email. Hence please ensure that you provide the one(s) you check regularly.
Your Professional Status
Please select whether you are a Doctor or Medical Student.
Need Help?

Please email us at if you experience any difficulties during the registration or payment process. One of our support staff will get in touch with you immediately.

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