FEKO Student Competition Entry Form

Entry form for the 2012 FEKO Student Competition (Closing Date: 28 September 2012)

First Name / Given Name: ■

Last Name / Family Name / Surname: ■

Preferred Name:

E-Mail Address: ■

Additional E-Mail Address(es):

Student Number:

Degree / Level of Study: ■

Supervisor / Promoter / Project Leader / Tutor: ■

Department / Research Group: ■

Supervisor's E-mail Address:

Institution: ■

Website (URL) of research group / department / institution:

City / Town: ■

State / Province:

Country: ■

Title of Entry: ■

Abstract / Short description of entry: ■

Report (required) and FEKO model (optional):

Use this field to submit your report (preferably in PDF format). If you would like to upload more than one file, please create a zip-archive. Alternatively, the file(s) can be sent via e-mail to feko_student_competition@emss.co.za.

Additional information and comments:

By submitting this entry you confirm that, to the best of your knowledge, the information provided is accurate, that it is your own, original work and you agree that the contents may be used for FEKO marketing purposes.

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FEKO Student Competition Entry Form