All about you

What is your name?

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* 1. What is your name?

So that we are able to contact you, please give either your IAH membership number and/or email address:

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* 2. So that we are able to contact you, please give either your IAH membership number and/or email address:

Are you:

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* 3. Are you:

Where are you based?

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* 4. Where are you based?

What is your native/mother language?

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* 5. What is your native/mother language?

Can you understand/speak English with reasonable confidence?

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* 6. Can you understand/speak English with reasonable confidence?

Do you speak any other languages? If so, please list below:

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* 7. Do you speak any other languages? If so, please list below:

Approximately how many years experience do you have in groundwater/hydrogeology?

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* 8. Approximately how many years experience do you have in groundwater/hydrogeology?

Your employment:

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* 9. Your employment:

Do you travel for business or other professional reasons? If so please give brief details of any particular locations, regularity of travel, etc:

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* 10. Do you travel for business or other professional reasons? If so please give brief details of any particular locations, regularity of travel, etc:

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