Registration Staff Week

Anmeldung Staff Week

Mit diesem Online Formular melden Sie sichzur ausgewählten internationalen Veranstaltung an.

Erst wenn Sie das Formular VOLLSTÄNDIG ausgefüllt haben, können Sie dieses an uns absenden.

Anmeldung Staff Week

Event*

Personal data

Family name*

First name*

Date of birth*

Sex*

female

male

Phone (incl. country and area code)*

E-Mail*

Home Address

Street*

Postal Code*

City*

Nationality*

Emergency contact (e.g. parents, close friend, …)*

Further things useful to know for us (special diet, etc.)

Home Institution

Official name and address of your home university / institution*

Department

Your International coordinator

Name coordinator*

Approval international coordinator*

yes

Phone coordinator*

E-Mail coordinator*

Main focus

Subjects of Interest*

Colleagues you would like to meet

Scientific Department*

Language competence

Mother tongue*

English language competence*

German language competence*

The participant attests that s/he has a health insurance and a public liability insurance so that costs for a doctor / hospital abroad and costs for damages to a third party will be covered.

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