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Register to attend HOME VIII

Full Name

First name

Last name

Please add both your first name and last name (surname/family name).
Please select your title
Please confirm your name as you wish it to appear on your name badge

Some people have a shortened form of their name which they prefer others use (e.g. Tom for Thomas).
Please provide your email address
Please confirm the name of the institute/company/organisation you are affiliated with (if no affiliation, please state "none")
Please select your sector:

Please select the sector which most closely represents your field of work or status.
If other, please give details:

If none of the drop-down options represents your field of work or status, please give details.
Mobile phone number
Do you have any special requirements?
YesNo

For example, do you have access requirements?
If yes, please provide us with details.

Please let us know what your requirements are (for example, if you use a wheel-chair or hearing aid).
I will be attending the HOME VIII meeting: Agreeing instruments for the clinical practice set (Wed 22nd April, 09:00 – 12:00, Baekje room, 4th floor, Dragon City Hotel)
YesNo
I will also be attending the “Orientation Session” for patients (Tues 21st April, 15:00 – 17:00, Baekje room, 4th floor, Dragon City Hotel)
YesNo

HOME - Harmonising Outcome Measures for Eczema

Centre of Evidence Based Dermatology
University of Nottingham
King's Meadow Campus
Lenton Lane, Nottingham
NG7 2NR, UK

Telephone: +44 115 8232435
Fax: +44 115 8468618
Email: HOME@nottingham.ac.uk