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General Assembly 2018 – Registration Form

14 Nov 2017, 08:10 UTC
General Assembly 2018 – Registration Form

Personal Information Function*PhD StudentPostdocAdministrative/Technical PersonnelProject LeaderSubproject LeaderSenior ResearcherOthersTitleName*



First




Last


University*Department*Business Phone*Email*

Private address*



Street Address


ZIP / Postal Code


City

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe
Country


MobileAccommodationAccomodation*Single RoomDouble Room (All double rooms have single beds)I will not stay overnightI will share a room withMeals

24.01.2018, Lunch


24.01.2018, Coffee break afternoon


24.01.2018, Welcome Drinks


24.01.2018, Dinner


25.01.2018, Breakfast (only for people who stay overnight)


25.01.2018, Coffee break morning


25.01.2018, Lunch


25.01.2018, Coffee break afternoon


25.01.2018, Dinner


26.01.2018, Breakfast (only for people who stay overnight)


26.01.2018, Coffee break morning


26.01.2018, Lunch
Type of mealBeef/Pork/Chicken/FishVegetarianFondue/RacletteYes, I love FondueYes, I love RacletteYes, I love Fondue and Raclette equallyNo, please propose an alternative menuAllergies/ Other SpecificationsTransportArrival*I will arrive by public transportation with the recommended connection (details will follow). Please reserve a seat for me.I will arrive by public transportation individually.I will arrive by car (my private car or car sharing). Please consult the section “Access by car” on the Event page, for conditions and further information: http://nccr-planets.ch/event/planets-general-assembly-4/RemarksPosterPoster

I will bring a poster
Poster TitlePoster Size/Format

A0


A1


Portrait


Landscape


Other
RemarksSpecial needs/remarksCAPTCHA
CANCELLATION POLICY: Please note that your registration for the General Assembly is binding. If you cannot attend or have any changes, please inform Janine Jungo no later than Monday, January 8, 2018 at noon. If you fail to cancel within this deadline, the costs will be charged to you via bill sent to the address you have indicated in the registration form (except for sickness, etc.)..














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