• First and Last Name
• Date of Birth (DD/MM/YYYY)
• Gender
  
• University email address (must be in the approved format)
  
• University
  
• Current year of medical school
  
• Number of previous Conventions attended (answer can be none)
  
• Postal Address and Billing Address if different
  
• Mobile phone number
  
• Emergency contact name and phone number
  
• Dietary requirements
  
• Shirt size (S, M, L, XL, 8, 10, 12, 14) (optional, if paid for)
  
• Payment details (Visa or MasterCard only. Please ensure your limits on you card are adequate for registration, including Visa or MasterCard debit cards)