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Please note that there are a limited number of places available (approximately 300 for the full Forum and an additional hundred, i.e. for a total of 400 for the plenary sessions). Everyone will be requested to submit a registration form and participation will be confirmed in a manner that helps us to achieve equitable representation of all our stakeholder groups. We would therefore request you not to make travel arrangements until you receive confirmation from us that a place has been allocated to you.

Name*

First Last

Gender*

Female
Male

Nationality*

Job Title / Position*

Organization*

Type of organization*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Brief description*

Brief description of evidence of interest/research in the fields of agricultural research contributing to poverty alleviation, including a web link to a publication or website of the project(s) you are working on (maximum 300 characters)

What is your main interest in attending the Forum? What are you interested in learning about?*

Do you have funds to support your attendance at the Science Forum 2016*

Yes
No

Please note that participants are responsible for their own costs and no travel bursaries are provided. Limited discretionary funds are available to assist participants from developing countries; regrettably, not all requests that meet the established criteria can be approved.

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