Registration

First name(*)
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Academic title(*)
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Prof., post-doc, PhD/MA student, etc.

Last name(*)
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Affiliation(*)
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(department, institute - including address).

Gender(*)
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Email(*)
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Phone number(*)
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Mailing Address(*)
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(street, city, state, postal code, country).

Webpage
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Date of arrival (estimated)(*)
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Date of departure (estimated) (*)
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Preferred accommodation type(*)

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Financial support(*)

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Received your PhD less than 10 years ago?
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Interested in giving a short talk(*)
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Dietary restrictions
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Comments
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