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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your contact telephone number?

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* 4. What is your email address?

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* 5. Give us some more information about your Startup

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* 6. By supplying your information via the survey you are granting us permission to contact you via email or phone regarding registrations for the AI Blockchain Programme only.
We hold the data you provided confidentially until we have contacted you about registrations. After we have contacted you, any contact information you provide on this survey will be deleted.
Should you wish to withdraw your consent to be contacted please email v1fformi@exseed.ed.ac.uk

Please indicate below if you are happy to be contacted by us for the reasons stated above.

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