Registration Form

EIDMA minicourses

Please note that your registration is only official
after our written confirmation of its receipt.

Minicourse
Lecturer

First name
Last name
Gender	Male Female
University/Company
Department
Group
Position
Supervisor (if applicable)
Full postal address
Invoice address
Admission fee	participants from industry: EUR 500,-- EIDMA members from industry: EUR 400,-- University staff members and (PhD) students: EUR 300,-- University staff members and PhD students affiliated with EIDMA: EUR 200,--
Telephone number
Telefax number
E-mail address
(TUE students only):
Student identification number
Discipline (math./inf./electr.)
Year of study

Submit