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Visit Request Form
for the Faculty of law, Economics and Governance
Date of proposed visit:
dd/mm/yyyy
Time of proposed visit:
Duration of visit (hours, 1/2 day, full day):
Person making the request for visit
Title (Prof/Dr/Mr/Mrs):
First name:
Last name:
Position:
Institution/Organisation:
Institution's website:
Email address:
Short introduction to your institution:
Overall purpose of the visit and topics of interest for discussion:
Person(s) or units you would like to meet with:
Total number of delegates from your institution:
Leader of the delegation
Title:
First name:
Last name:
Position:
Names of the delegates **
Title:
First name:
Last name:
Position:
** If there are more than ten delegates, please upload a seperate list:
Prof/Dr/Mr/Mrs
Prof/Dr/Mr/Mrs