Registration

 

 

Registration is closed!

 Mr Ms

First Name

Last Name

Type:
 Participant Industry Day only Invited Speaker (external) Invited Speaker (CoNDyNet) Participant (external) Participant (internal)

Your E-Mail:

Your Current Status:
 Professor PostDoc PhD Student Student Other

Name and full address of your institute/university:

__________________________________________________________________

1. If you want to register as speaker please also fill in the following part of the form. Thank you.

Title of Lecture/Talk:

Abstract:

For invited external speakers and invited CoNDyNet speakers accommodation in our guesthouse is available.
Please check which type of room you need (CoNDyNet speakers will be charged).

 Single Room - 50 €/night Double Room - 80 €/night (Double Room in single use - 65 €)

Date of Arrival (YYYY-MM-DD): (not before June 21, 2016)

Date of Departure (YYYY-MM-DD): (not later than June 26, 2016

I want to take part in the Conference Dinner on June 24, 2016 for additional 35,00 € to be paid together with accommodation or conference fee.

 Yes No

___________________________________________________________________

2. If you want to register as participant please also fill in the following part of the form. Thank you.

I want to present a poster:

Title of Poster

Abstract:

I want to book the "participants package College Nordmetall" (21.-26.06.16) for 450 € (single room/own bathroom).

I want to book the "participants package Krupp College" (21.-26.06.16) for 400 € (single room/shared bathroom).

I'll take care of accommodation OFF CAMPUS on my own and pay only 100,00 € conference fee to Jacobs University Bremen gGmbH:

Date of Arrival (YYYY-MM-DD):

Date of Departure (YYYY-MM-DD):

I want to take part in the Conference Dinner on June 24, 2016 for additional 35,00 € to be paid together with accommodation or conference fee.

 Yes No

Complete applications for participation will be evaluated and an admission decision will be communicated not later than 2 weeks after submission of the application.

Please transfer the corresponding total costs not later than June 6, 2016
by indicating your full name and the reference "ConDyNet 6214-10588"

to

Bank details:
Account holder: Jacobs University Bremen gGmbH
Bank name: Commerzbank Bremen
Bankadress: Schüsselkorb 5-11, 28195 Bremen
Account-No: 100924200
BLZ: 290 800 10
IBAN: DE38 2908 0010 0100 9242 00
SWIFT: DRESDEFF290