UKCGE | ICPPD9 - Impact Case Study Submission Form

Corresponding Author Details

Title

First Name

Last Name

Job title

Email

Institution/Organisation

Country

Do you have any colleagues, who should also be credited as an author of the paper?

Yes No

Title (2nd Author)

First Name (2nd Author)

Last Name (2nd Author)

Job Title (2nd Author)

Email (2nd Author)

Institution/Organisation (2nd Author)

Country (2nd Author)

Do you have any colleagues, who should also be credited as an author of the paper?

Yes No

Title (3rd Author)

First Name (3rd Author)

Last Name (3rd Author)

Job Title (3rd Author)

Email (3rd Author)

Institution/Organisation (3rd Author)

Country (3rd Author)

Do you have any colleagues, who should also be credited as an author of the paper?

Yes No

Title (4th Author)

First Name (4th Author)

Last Name (4th Author)

Job Title (4th Author)

Email (4th Author)

Institution/Organisation (4th Author)

Country (4th Author)

Do you have any colleagues, who should also be credited as an author of the paper?

Yes No

Title (5th Author)

First Name (5th Author)

Last Name (5th Author)

Job Title (5th Author)

Email (5th Author)

Institution/Organisation (5th Author)

Country (5th Author)

Do you have any colleagues, who should also be credited as an author of the paper?

Yes No

Please list the full details of any additional authors below:

Paper Details

Impact Case Study Title

Abstract/Description

Max 300 Words

ICPPD9 — Impact Case Study Submission Form

Corresponding Author Details

Paper Details