LENScience Alumni: Add your profile

Please complete the following form and submit your alumni profile.

First Name *This question is required.

Last Name *This question is required.

Title

School / Organisation *This question is required.

Position

City / Town *This question is required.

Postal Code

Country

Email Address *This question is required.

Second email address (optional)

Phone Number

Mobile Phone

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The information collected by or held by the Liggins Institute is provided by you freely. This information may be held, used and disclosed by the Institute in order to create alumni profiles.

You understand that the Liggins Institute may use your profile for the purpose of providing students with real life career stories.

Publication of alumni profiles will initially be on the LENScience Alumni and Friends website which is available to the public. You understand that these profiles may also be used in other places, including but not limited to seminars and talks both within and external to the University, and print publications promoting the Liggins Institute.

You have the right under the Privacy Act (1993) to obtain access to and request correction of any personal information held by the Liggins Institute at any time, or to request removal of any details which shall be done at the earliest opportunity from electronic media, or from the next edition of hard copy media.

*This question is required.

Yes, I consent to the terms of use as stated above.

Would you like to join our newsletter to keep up with our news and events?

Yes, send me new sand updates. (We respect your privacy and will not send unsolicited email).