Oxford Young Scholars Fellowship on Religion and the Rule of Law

Registration Form

Given Names(Required)

Surname(Required)

Full Name (To Appear on ICLRS Website and in ICLRS Literature)(Required)

Preferred Email Address(Required)

Alternative Email Address (If available)

Preferred Phone (include country and area code)(Required)

Alternative Phone Number (If available)

WhatsApp Number (include country and area code)(Required)

Academic Position or Job Title(Required)

Affiliation/Institution/Organization Name(Required)

Mailing Address Line 1

Mailing Address Line 2

City

State/Province

Postal Code

Country(Required)

Country of Citizenship(Required)

Birthdate (For Travel Insurance and Airline Reservations)(Required)

PLEASE NOTE: If you live LOCALLY, simply enter "N/A" in the required fields below.

Full Name on Passport(Required)

Passport Number(Required)

Passport Issue Date(Required)

Passport Expiration Date(Required)

Passport Place of Issuance

Passport Issuer

I have sent a copy of the personal photo page of my passport to [email protected]

Departure City (and Airport)(Required)

Return City (and Airport)(Required)

Arrival Date(Required)

Note: ICLRS cannot pay for or arrange accommodations prior to July 13

Departure Date(Required)

Note: ICLRS cannot pay for or arrange accommodations after August 4, 10:00 a.m. GMT

Preferred Seating

Frequent Flyer Number (if available)

Dietary Restrictions

Primary Language(Required)

Consent(Required)

I agree to the above terms and conditions relating to the event.