ࡱ> bda%` O bjbjNN .<,,O LdKKKKKKK$mMhOKKK555 K5K55 , ! ~ʂM. HK0 L!PjP ! !8PD!'5KK+  L F F RSC / UCL Physical Chemistry graduate student mini-symposium 1st June 2009 Application form for participation If you would like to participate in the mini-symposium, please fill in this application form and return to Dr. S. Perkin (susan.perkin@ucl.ac.uk) before Monday 11th May. If you apply to give a talk at the symposium, you will be informed whether or not your abstract has been selected by Monday 18th May. Given name:Family name:University:Department:PhD supervisor:PhD year of study:e-mail address:Phone number: Are you applying to give a talk?*Yes*If yes, please attach an abstract of ca. 400 wordsNoWould you like to present a poster?Yes(There is no selection process for posters, Noplease just bring it with you on the day.)Are you applying forYes travel reimbursement?No(If yes please give an estimate of the costbelow, and bring receipts with you on the day)Do you have any special requirementsYesincluding dietary requirements?No(If yes, please give details below) Additional Information:- >@Jnow       $ % & N O        8 9 U ̻h4CJOJQJ^JaJh4CJOJQJ^JaJh4CJaJ h45CJOJQJ\^JaJ hW6A5CJOJQJ\^JaJhwWCJaJ hwW5CJOJQJ\^JaJhwWh7 h@`h@`h@`h@`H*h@`4=Kop akd$$Iflh01 P'@ '_644 la]pytwW$If $$Ifa$gd@`gd@`gd@` O  .akd2$$Iflh01 P'@ '_644 la]pytwW$If $$Ifa$akd$$Iflh01 P'@ '_644 la]pytwW .akdd$$Iflh01 P'@ '_644 la]pytwW $$Ifa$akd$$Iflh01 P'@ '_644 la]pytwW$If      akd$$Iflh01 P'@ '_644 la]pytwW$If $$Ifa$  # $ % .akd/$$Iflh01 P'@ '_644 la]pytwW$If $$Ifa$akd$$Iflh01 P'@ '_644 la]pytwW% & H L N O rykd$$IflhFX<\'g'' k6    44 la]pyt4$If $$Ifa$gd@` }ww$If $$Ifa$ykd$$IflhFX<\'g'' k6    44 la]pyt4 }}w$If $$Ifa$ykdd$$IflhFX<\'g'' k6    44 la]pyt4 }}w$If $$Ifa$ykd$$IflhFX<\'g'' k6    44 la]pyt4    }ww$If $$Ifa$ykd$$IflhFX<\'g'' k6    44 la]pyt4     }ww$If $$Ifa$ykd$$IflhFX<\'g'' k6    44 la]pyt4  2 6 8 }}w$If $$Ifa$ykdr $$IflhFX<\'g'' k6    44 la]pyt48 9 P S U }}w$If $$Ifa$ykd+ $$IflhFX<\'g'' k6    44 la]pyt4U V }ww$If $$Ifa$ykd $$IflhFX<\'g'' k6    44 la]pyt4U V 1 2 3 4 5 N O hPhwW hPhPhwWh4CJOJQJ^JaJ h45CJOJQJ\^JaJh4CJOJQJ^JaJh4CJaJ }ww$If $$Ifa$ykd $$IflhFX<\'g'' k6    44 la]pyt4 }ww$If $$Ifa$ykd $$IflhFX<\'g'' k6    44 la]pyt4 }}w$If $$Ifa$ykd9 $$IflhFX<\'g'' k6    44 la]pyt4  }}w$If $$Ifa$ykd $$IflhFX<\'g'' k6    44 la]pyt4 1 2 3 }ww$If $$Ifa$ykd$$IflhFX<\'g'' k6    44 la]pyt43 4 5 O |gdPgd@`ykd$$IflhFX<\'g'' k6    44 la]pyt4,1h. A!"#$% $$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5@ 5#v@ #v:V lh_6,5@ 59/ a]pytwW$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ / / a]pyt4$$If]!vh5g55 #vg#v#v :V lhk6,5g55 9/ a]pyt4@@@ NormalCJ_HaJmH sH tH Z@Z  Heading 1$$P@&a$CJ KH OJQJ\^JaJ T@T @` Heading 3$$<@&a$5CJ\^JaJZ@Z  Heading 4$ & F<@&5CJOJQJ\aJDAD Default Paragraph FontRi@R  Table Normal4 l4a (k(No ListDB`D P Body Text $xa$ CJOJQJ@O2@ C Subheading @5CJXO1X @`Style Heading 3 + Italic$a$6]O<=Kop#$%&HLNO2689PSUV   12345Q(0(0(00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00#$%HLNO2689PSUV   1234QZ0Z0@ Z0Z0@Z0Z0@Z0Z0@Z0Z0@Z0 Z0 @Z0 Z0 @Z0Z0@Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0  Z0  Z0  Z0Z0  Z0  Z0  Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0Z0 Z0 Z0 Z0 0U O   %   8 U 3 O  O 8@0(  B S  ?Q:@Q333&HOV 5NQQ :6> 00^0`o(hH ^`o(hH ^`o(hH1. ^`o(hH(a) ^`o(hH() 88^8`o(hH() ^`o(hH. ^`o(hH. pp^p`o(hH. : :|Er.R[|d  04f,SlT,=ATMz*| 3#/6d9JVk#u {n!#$C(7Ojacdw Y )wEQaeMt{  ''[/3ECa!dg| FS2A=@"@uABCUgh{)r1ZAY~[ _fz  ~  8 = XK \ e x x   { k 1 >8 ;? ]I sZ 2  j! = nq v w D  Q. ? /@ AM U W _ $e f u }  >+ - { ;&,,Y`8d/pu~ 9%2I UdgnsvaV$+.g/W6b8IP8V[^#a%%+/8;_JSMY?b!dv,Y Z3,&68;Vt[`ax2I(L;LIVP{{(&6Y=Zfq;Tq,N%\fa]iQtC2=MIEJv^j_ %&9nJzz I;'-D::c dpJuNw=~1DQ~[5oO]Xl EN#(D/O6 3"0v2~9:TUXy\\]oPw~$%EKQ [nZwF(<-S.7:@\]d A WAj , / 1 J K ! !W!o+![;!=!=!xR!o!w!""""*!"4"A"I"c"h"m"2###(#6#m7#6=#>#O#($9$+N$O$j$x$t$H%%%%i%%%z5%>%F%lP%{%R & &&[#&2&>&S&U&ʳ&&j&&'''M'O'Z''v''&(!(*(4(6((4))2)<)W)x)****D*d4*8*C*G*L*X^*f*|*w ++}4+4+6+S+W+u+"v+{+W ,,b,",&,<,L,L,WX,X,X,Y,2j,ez,M--!-$-5-7-#<-k-x--.&. U. f./5/C/L/sc/g/el/0*0;0P0u0-y01 1) 1b1i11 1*1TB1DP1_1?a1Fb1g1[h1sn1w1L2G(2[52A@2D2P2_20g2Hp2[u2333x33363J3L3M3^3Vk3 4 444 14CV4]4bd4H455$5$523575A5{D5G5L5L5Q5e5k5o52(6l96<=6O6Z6Kv6{6}6567 7=7bB7j76y7}7a8n8{8{8S 9"99!909H9CI9L9f9-m9~9::=:B:E:K:N:P:u;;V;;u;+;8;%A;S;W;t;!{;|;i<P<~B<$D<P<#Z<@]<_m<d==6===9=C=XG=]=4`=`=f=o=t=>= >D>"i>j>}>X> ?i??!?o.?4:?P?]?d?@@{ @'@8@F@Q@_@r@y@.{@HAA\+A.AW6A;cAfAuA|AY~AB8Br9B+OB|rBtByB~BCCCCD4CJCiSCaCC DpDDDZDaD#D^zD5E"EM(E0E ;ESEWE#XE[EaE.sEvEfwExEFF1.F3F|FF^JF4KFpTFZFZF%hFjFZGGG4G=GSGYGYG`GjGzG{Gq HH,H(1H5H6:HY=HLHZ^HlH{HI I(IBI[MIypI|~IJWJ4J6Ju Jw!Jh)J$-J&4J8JtAJBJMJ!RJgSJ!nJAtJ,xJK K)KFKYKx\KLH5LWLxLOyL{LMM%M3+M0MiMNNmN\NJNQPNh\N_NmNKsNOO{O#O"2O>O?OXO]YO[O\O)^OtO{OhP| P,PAPLP QP$QP\SPYPkbPctPQp3Q;QnAQKQ_QxQ6zQzQy}Q4R RR RER}MR2SgSSs,S/3S?S7oS {SATxT TL$T}GTQTVT\T]T~TUUU! U?U*FUMUsMUlUsUV V&V:VCV7HVwV|VR Wg WWWvWyWW[+W8WDWzNW%WWYaW&jWSoWX!X~"X*X7XIX?MXWXXcX,Y&OYUY_Yo`YgYxZZ*Z+ZM\M\0k\q\O]9]](-]2]RS][]]]Cm]^^YF^O^P^v^ _65_6_9_pD_H_Mb_z_P1`@`QA`mH`)L`R```e`l`Wq`u`}aV$a.a!6aNa|Ua]aha,la sazab'bBbbqVb"Yb`bAcbcbcbybcccc+c?.cg7c_cpcucd{d0dd##d0dTddUd_dCgd3odsd{dqeeMe$e;euQeceee\hemenes}eMffflf#fu4fGfQf`fgbgggFgOg`gngog[yg{g{|gng+hh\h hWhh1hV@hJh0Uh=Whhdhhh}hi6i^8i MiQi_ifiqiti{iiUjMjj7j=jCjHj7SjQdj@kk:k2UkVkWkZk_kPgknwkb(lw+lt0lXBlKlsOlRlTlyZlblhlm(mh)mq)m1mH8m=m=EmLmKbmcmdn( nd n"n%n,nPn]n|n]oMoaomoqoV|oz p'p8 pBpFpIpWpfpppqbq=qGqLqVqOXqaqtaqsq{qk|qrHrr$rg.rF6rQr4brlrmrnrK s(sa)s)sHqs?|s/tS1th:tAtBtUthZt[tmtFntuuuauu(u0uWuXZupuyvvu v:v v:"v 2v44vCvWSvaTvhvqv.ww%wg'wt6w@wUfw`nwxixk-x*0xex+oxxyy@yy*y2ySzUzfzwlzlz{{>*{>{D{L{AN{Q{gg{m{s{w{ {{}{?|| ||#|'| /|tE|uF|VK|`|qe|}e}}w3}F4}Z}^Z}L_}#b}h}i}m}z} ~~8~(~!~#~4~?~sH~dO~b~xS L%>0g<|3:*c8 ARTTI\|pr />L=R \axk} wr7CfEHRbJ(-3?kYsVtV }wGqWdlnKtwBTJWW(o|py{}d 4;?D7d@i1wFy~r7I!y8=CP[~]wXzxl#9\<FDGOIaJPc&s;J>,}@#B[BQ2R.P/4:>^D M_`x+!3U@cm 6q-1@MFGJ_LkmnG|}5#+ILYl8l#072OHKD_A  $)-WHVxz=QZt|+T.0j48:= JjSS W*">DPWaumyx$2q78:;N^X aooqsw?V #(/38;LY 79KsRah>jouw'/0536/U'Zg@gAgo'qU (4<_JqP]e"gp p T\}kl(.(8KBB]Fn_n\r\sR^6x;yGIOy Q D|#!*m*F8Oi{ww R%)<RW X\{}DY;??_APSTkk|~@LU_vV" 6??ALUWTX+Z`9cg1 t49[u)+K7 OWiFt}Eo15DLq|d+<(@bR<]cbhF?KX/cz$9 =PGHfIcQuSa~;.3A{CaWenqq _  +;^[`eU5V:@Z\kw{: W,P5Z8%U{XYZ7c jsz!<@BCVY^'a*}7C)NvN]Pegb 4@A-JxMY 9 7!;*~58?F]]%bww u&l**l1r=O@JEjJ_bhozu{O7?ybU!q%C3F J]Ycii2#15!>]QC!]g:AKN^jlmuzD tDrtulw5u9EOwl|W48:Mb@rp, /)% @h#hhr%y5V]if^hx-% *6; Wsr7t5_9&G~C&u66U^2by `&<bJJ=s  $L)018=GJMYn -R0?'FYJlpF7}%hp|r4J#/0SAZ_`orvv}i!C Xam!/:Z?DIJL/LOWips|]): =X*Y7Z?^ejo# %%f: >ڰsᱹ3W<B; R"COH_Oh_bdwxBn W.<GQPW_imjpz b!!])+;JSVad{p' *gB{MVYcG"m<2>?G4Weq@s f-13;1LMMS[^cmw{{^*3JEHch{ 9 HbT+>LO'RAlx" I )0W?RW} ;$v'19GJMPV|_brvs I v*MGU;V civd g#N5kq5vL *i390?]]ffkr6J[yh F1J\`cddFkorv41pEbwN%-"29mDYJ=fxx_}=I3JJYwe{~ Xim"4`bW+#1D45Rd&w )fSxz5E}HNY]]2&t6E;A BBFOYw}&9K@QYG[fMp & '255:TBLs]_6lnuM}3j0|66 bhtvpS8Y^ `N"R3>0DYp,vo} '7FORpgkl@LMG`ksasd o6AKwW^FUu^=a){GBIJMad{}!$1O;UzqsDV.6W8MO=h? ! //9QIOcc(#26<[igkIX ARf/gjAl[p^d&HX@`i>xOS8glnT e~%&p1}<<CNOBVa gha !#*f,?6F^IZiiTp< S k%*:hOPVu`h oa.9?@ABCDEFGHIJKLMNOPRSTUVWXZ[\]^_`cRoot Entry FvׂMeData G1Table(PWordDocument.<SummaryInformation(QDocumentSummaryInformation8YCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q