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    MiLk Primrata
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    This document is a registration form for an Olympus Bioimaging Center seminar and workshop taking place on March 25, 2013. It requests the attendee's contact details, research field, microscopes used, and whether they would like to attend the lecture, hands-on session, or are a confocal/live cell microscope user. The form collects this information so the center can announce future events to interested participants.

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    This document is a registration form for an Olympus Bioimaging Center seminar and workshop taking place on March 25, 2013. It requests the attendee's contact details, research field, microscopes used, and whether they would like to attend the lecture, hands-on session, or are a confocal/live cell microscope user. The form collects this information so the center can announce future events to interested participants.

    Copyright:

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

    Registration Form

    Uploaded by

    MiLk Primrata
    This document is a registration form for an Olympus Bioimaging Center seminar and workshop taking place on March 25, 2013. It requests the attendee's contact details, research field, microscopes used, and whether they would like to attend the lecture, hands-on session, or are a confocal/live cell microscope user. The form collects this information so the center can announce future events to interested participants.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
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    Olympus Bioimaging Center Seminar and workshop

    Date: 25 March 2013

    Registration form
    Thank you for your participation in the workshop. Please fill in this form so that
    we can announce our events in future to you.
    Contact details

    Name: _______________________________________________________________

    Institute/Departments: _________________________________________________

    Tel/Mobile: __________________________________________________________

    E-mail: ______________________________________________________________

    Research Field: ________________________________________________________

    Please briefly explain about your research field:


    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________

    Microscopes you use in daily research

    Olympus: (model)_____________________________________________________

    Nikon: (model)______________________________________________________

    Leica: (model)______________________________________________________

    Zeiss: (model)______________________________________________________

    Others: (model)______________________________________________________

    I would like to attend


    Lecture (Unlimited)
    Hand-on (Limited 15 person only)
    Are you a Confocal Microscope / Live Cell System User?

    Thank you

    Yes / No

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