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ICCL

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ICCL Summer School 2015  -  Online Registration


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Please fill in the following fields in English. Compulsory fields are printed in bold face.

Your family name
Your first name
Your highest academic degree
Your email address
Your home page (if available)
Your country of origin
Geographical area of country of origin
Your gendermale    female 
Your current affiliation (university, company etc. where you work or study)
Department, institute etc. of current affiliation
Town of current affiliation
Country of current affiliation
Geographical area of current affiliation
Sector of your current affiliation
Brief curriculum vitae (5-10 lines) including your professional experience and scientific interests
Your motivation/objective to attend this summer school
Do you want to apply for a grant? (Please note that applications for a grant cannot be considered anymore.)yes    no 
If yes, please give a list of all arising travel costs


Please give your address for correspondence letters.
Street and house no.
ZIP of your town
Your town
Your country
Do you agree that the information given by you in the fields in bold print will be included in a brochure about all participants?yes    no 
If yes, please attach a photo (in jpg format)
Do you want to purchase the summer school ticket for public transports?yes    no 


Do you want to register for the following activities of our social progam?
Walking city touryes    no 
Excursion to Pirnayes    no 
Excursion to the Saxon Switzerlandyes    no 
Summer School Dinneryes    no 
Do you hold any special diet?
Further needs or handicaps