Registration Form

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

First name
Last name
Gender	Male Female
University/Company
Department
Group
Position
Supervisor (if applicable)
Full postal address
Invoice address (please mention a complete address, including the name of the person/company liable to pay)
Admission fee	Participants from industry: EUR 500,-- EIDMA members from industry: EUR 400,-- University staff members and PhD students: EUR 300,-- EIDMA university staff members and PhD students EUR 200,-- DIAMANT university staff members and PhD students EUR 200,-- I am an undergraduate student, please contact me.
Telephone number
Telefax number
E-mail address
(TUE students only):
Student identification number
Discipline (math./inf./electr.)
Year of study

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