Booking a place as a Research Assistant or Dissertation/Thesis Volunteer (UK & International)

If you would like to download a copy of this form, click here for the Word version and here for the pdf version
 		  
 
Name Sex
(Full name as it appears on your passport)
University Date of Birth

Home Address Term Address
Telephone number Term telephone
Email Email
Mobile telephone    

Nationality Country of Expedition
(for possible visa implications)
Length of Expedition Start date of expedition in-country

Proposed Itinerary
Week number Option number or title
1
2
3
4
5
6
7
8
Although this is your proposed itinerary, please bear in mind that logistics in the field, in such
a remote part of the world, may require certain aspects of your itinerary to be changed at any time.

By ticking this box, you acknowledge that you have read and understood the booking conditions, and accept them.     Name
Date
By submitting this form, you are not confirmed on the expedition. Please call the office on 01790 763194 in order to pay your 10% deposit. Once we receive your deposit, your place will be secured.