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Please fill out the form below, making sure to take a look at the Terms and Conditions. Also, we’re asking that you upload a small picture of yourself, and write a few lines about yourself and your work, for display on the website. Thank you!

Last Name:
First Name:
Date of Birth (dd/mm/yyyy):
University:
Course:
Year of Study:
University Email Address:
Preferred Contact Email Address:
Area of Submission:
Write a few lines about yourself and your work (max. 300 words):
Upload a picture of yourself:
I have read the Terms and Conditions:	Yes
I give B-SIDE EMPIRE permission to use my work in accordance with these Terms and Conditions:	Yes
I would like to join the mailing list:	Yes No