Application PhD students/ Postdocs EM 2019 - Register

APPLICATION FORM:

EM membership for PhD students and Postdocs 2019

Mr. / Ms. *

First name *

Last name *

Initials *

Office address *

Email address *

Phone:

Male/Female *

Date of Birth *

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Research advisor *

University *

Position *

Group *

Funding: *

Appointment from: *

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Appointment to: *

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Registration date: *

I confirm that my research advisor agrees with this application for a EM Memberschip: *

Yes

No, I do not confirm

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