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Team name

Please enter below the details of the team captain.

Mr. / Ms. *

First name *

Last name *

Email address *

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Phone number

Age

Current education institution:

Study program:

Level: *

University of applied sciences (HBO)

University BSc.

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Other

Please fill in your level: *

Current year (starting at 1 for first year master):

5 or higher

For exchange students

Main education institute:

Country:

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Please fill in the details of your team members

Team member 1

First name:

Surname:

Email-address:

Team member 2

First name:

Surname:

Email-address:

Team member 3

First name:

Surname:

Email-adress:

Team member 4

First name:

Surname:

Email-address:

A supervisor from one of the team members education institutions is optional, if you have one please provide the following details:

Name supervisor (including titles):

Institution of the supervisor:

Function supervisor:

Email supervisor:

Telephone number supervisor:

Short description of your innovative idea (max 150 words):

I will provide this later

How did you hear about BISC-E?

Friend/fellow student

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Poster

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I accept the BISC-E Regulations *

(link to the terms)

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BISC-E 2019 Portugal

Registration website for BISC-E 2019 Portugal

BISC-E 2019 Portugalbert@bureauberdt.nl

BISC-E 2019 Portugalbert@bureauberdt.nlhttps://www.aanmelder.nl/106802/subscribe

2019-06-28

OfflineEventAttendanceMode

EventScheduled

BISC-E 2019 PortugalBISC-E 2019 Portugal0.00EUROnlineOnly2019-01-01T00:00:00Z

To be announcedTo be announced

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