Please provide the following information.
[ Note: Questions marked * must be completed ]
1. * Surname
2. * First name
3. * Title
4. * Job title / Position
5. * Organisation
6. * E-mail address
7. * Areas of research interest
The information you supply via this web form will be retained by the University and entered on the website to promote collaboration amongst researchers. You will be responsible for the accuracy of your own information, which you may amend at any time by contacting the Network Manager via the Contact Us link on the SIRN home page. All registrants may access the data. By supplying this information, you consent to the University and SIRN storing the information for the stated purposes. The data will be used for SIRN business only, and will be reviewed regularly. SIRN and University of Glasgow ensure the security of the data held, in accordance with the provisions of the Data Protection Act 1998 and registrants are expected to treat the data they access in accordance with the provisions of the Act.
(Have you filled in all the questions marked * ?)