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Please complete this entry form, making sure your entry clearly shows the age category you are entering,�your full name, date of birth, address (both home and educational if applicable) and telephone number(s).

You can then submit entries in 2 ways:

1. By printing and sending 2 copies of this entry form and articles to: The Daily Telegraph BASF Young Science Writer Awards 2001, 4 Hanover Yard, Noel Road, London N1 8YA.�(Please keep a copy of your article, as entries cannot be returned.)

2. By filling in the form below and attaching your article (Word or PDF format only). Simply click on the "attach article" button below. N.B. your article must not be larger than 1.5Mb in size.

Please note: Multiple school entries may only be submitted by post.�

The competition closing date is March 9, 2001.

Title:

First Name:

Surname:

Name to apear on certificate:

Home Address: (both home and educational if applicable)

line 1

line2

line 3

Postcode:

Term-time/School address:


line 1

line2

line 3

Postcode:

Telephone Number(s):

Date of birth:

e-mail address:

Age category: (Age on March 9, 2001)
16-19
20-28�

I am Currently: (Please Tick)
Degree Course Student
Post Graduate student�
Other HE course Student
6th Form student
In full-time employment
Other

Place of Study / Employment:

Which daily newspaper(s) do you most often read?

�ie: at least once a week (you will not be penalised if you do
not read The Daily Telegraph)

How did you find out about the Young Science Writer Awards? (Please Tick)
Advertisement in The Daily Telegraph
On the Internet
Through place of study/work
Other

What is your independent ITV region?

What is your BBC TV region?

What is your local radio station?

What is your local newspaper?

School entries: (may only be submitted by post)
Please supply us with a teacher contact name and telephone number. All entries should then be posted together in the same envelope.

Teacher:

Telephone Number(s):

If you do not wish to receive mailings of offers or services from other companies carefully selected by Telegraph Group Ltd., please tick this box

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