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Register for AHUA Online Governance Programme 24-25
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Title
First Name
*
Preferred Name
Family/Last Name
*
Ethnicity
*
Arab/Arab British
Asian/Asian British – Bangladeshi
Asian/Asian British – Indian
Asian/Asian British – Pakistani
Asian/Asian British – Other
Black/Black British – African
Black/Black British – Caribbean
Black/Black British – Other
Chinese/Chinese British
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
Mixed – Other
White – British
White – Gypsy/Traveller (including Roma)
White – Polish
White – Other (including non-British White identities)
Prefer not to answer
Other ethnic background
I don't know my ethnicity
Position Held
*
Department
*
Institution
*
Email address
*
Direct Line
Mobile
Please enter a Purchase Order number, or indicate if one will be sent
*
Address for correspondence
*
Street Address
Address Line 2
City
Postal Code
Address for invoice (if different)
Street Address
Address Line 2
City
Postal Code
Please give a brief overview of your responsibilities
How did you hear about the programme
AHUA website
Jisc
Social media (Twitter or LinkedIn)
Referral from previous participant
Referral from colleague
Other
Cancellations and Data Protection
*
Cancellations:
• All cancellations must be made in writing (post or email) to the AHUA.
• The AHUA will not be responsible for any expense incurred in the lead up to the event. Should the event be cancelled the AHUA will not reimburse for any expense incurred.
• Please visit the AHUA website for the full Terms and Conditions including the cancellation policy.
• Please contact info@ahua.ac.uk to cancel your place on the programme.
Please indicate that you agree to the AHUA storing your booking details electronically in order: to process your application; to invoice; to send you information about this Programme including a list of delegates with their email addresses; and for statistical purposes. Your information will not be used for any other purpose nor shared with third parties outside the Programme participants.
I agree to the above.
Signature
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