Spring School Registration

Address

Title

Last Name (Family)

First Name

E-mail Address

Phone Number

Institute

Street

City

Zip Code

Country

Visa Support Needed
 yes no

Will you present a poster?
 yes no

Poster Title

Poster Abstract

2000

Booking
(Registration before 14. January 2019 AND payment by 21. January 2019)
 Academia, 350€ Industry, 1700€

Acceptance of Data Storage and Data Processing
I agree that the Karlsruhe Institute of Technology (KIT) and Mannheim University of Applied Sciences stores and processes my above provided data in order to organize the Spring School. For details we refer at the KIT website on data protection.

Right of Objection
I have been informed of my right of objection concerning storage and processing of your data at any time. For details we refer at the KIT website on data protection.