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First name *

Last name *

University *

Maastricht University

Hasselt University

University of Cologne

RWTH Aachen University

University of Luxembourg

Université catholique de Louvain

Université de Lille

Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland

Other university

The fee for a member of EURON partner universities is € 295,00, for people from Maastricht University this will be done by an internal transfer, that is why we ask you the budget number from which we will book this amount.

Budgetnumber *

Name Other university: *

Name of the company: *

Affiliation: *

Country *

Postal code *

Street No. *

Street *

City *

Phone number

Email address *

Supervisor name *

Start year of PhD study *

Background education (which master programme or other education before PhD): *

Background relevant for the course:

Motivation for attending the course:

I will join the dinner on Tuesday the 3rd of June *

Yes

Even though you will not join us for dinner, this will not reduce the registration fee.

Diet restrictions

I accept the terms and conditions: *(link to the terms)

Discount code (optional)

Ticket

€ 0.00

Total: € 0.00

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Humane Neuroanatomy Course