Severn Postgraduate Medical Education & Severn Faculty RCGP welcome you to the GP Trainee Excellence Awards and Graduation Ceremony, Wednesday 20 July 2016, from 2pm Bristol Pavilion, Gloucester Cricket Club, The Bristol County Ground, Nevil Road, Bristol BS7 9EJ (www.bristolcountyground.com)

This celebratory event starts at 2pm with the award presentations, followed by the Michael Lennard Lecture provided by this year's guest speaker Dr Phil Hammond, before the early evening barbecue.

To book your place, or tell us that you are unable to attend, please answer all of the questions below. Each attendee should register separately.

ST3/4 Trainees are eligible to invite one guest to this event, please register your guest separately. Please also ensure that you advise us if you will have passed your MRCGP and are therefore entitled to receive a certificate from RCGP Severn Faculty in the relevant section below.

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* 1. What is your title?

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* 2. What is your first name?

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* 3. What is your surname?

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* 4. At what email address would you like to be contacted?

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* 5. Will you be attending the afternoon awards presentations and Michael Lennard Lecture?

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* 6. Will you be attending the early evening BBQ supper?

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* 7. Please state your role

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