Given names:

Surname:

Postnominals :

Title at Institution / Company:
(e.g. Lecturer, Senior Research Fellow, Postdoctoral Fellow etc.)

Organisation:
(e.g. The University of New South Wales)

Address
e.g. ARC Centre for Functional Nanomaterials
        School of Engineering
        The University of Queensland

Address Line1:
Address Line2:
Address Line3:   
Address Line4:

City: State: Postcode:

Country:

Phone:

Fax:

Mobile (Optional):

Email: (Compulsory - for Security Reasons)

Special Requirements (e.g. vegetarian etc.) :

Please select the sessions / meals that you will be attending:

Session Day 1 (Welcome and Plenary Lectures)
        (Mon 27/11/05, Lunch @ 12:00 pm, lectures from 2:00pm)

BBQ Dinner for delegate (Monday 27/11/06, 6:00 pm)

Session Day 2 (Paper presentations) (Tues. 28/11/06, 8:30 am to 4:30 pm)

Conference dinner for delegate
      (Wyndham Estate Winery, Tues. 28/11/06, 7:00 pm)

Bus required? (A bus will take delegates from conf. venue to the winery.
                             Bus departs Noahs on the beach at 6:00pm)

Session Day 3 (Commercialisation/IP Workshop, Appl. Talks by Industry)
       (Wed. 29/11/06, 8:50 am to 12:30 pm, lunch 12:30pm)

Partner Registration Details

BBQ Dinner for partner (sorry, no children)

Conference dinner for partner (sorry, no children)

Bus required for partner