ELIXIR INTOXICOM Workshop 3

Registration form

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Mr./Ms. *

First name *

Last name *

Email address *

Organisation *

Address of your Organisation

What is your mobile number?

I am a *

PhD candidate

Academic researcher (non-profit)

Industry participant (profit)

Other

Define "Other":

Experience

Please provide a short overview of your relevant experience related to the workshop (if there are any). *

Current research project

A short description of your current research project. *

Consortia

I work in the following project / consortia: *

Dietary requirements

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How did you find this workshop?

Please tell us how (where, from whom, via what mail list or website) you found this workshop?

Remarks

Do you have additional comments / remarks?

I have read and agree with the terms & conditions as mentioned below: *

No-show up policy:

We have a no-show up policy. This is a free-of charge workshop, but has costs for coffee breaks, lunches and dinner. We need to charge no-show up costs of 100 euro.

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I agree with our Privacy statement *

I would like to be informed about upcoming webinars and workshops from the ELIXIR Toxicology Community Implementation Study (INTOXICOM).

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