Springschool Registration

ASCI Springschool on Embedded Systems and GNARP on March 26, 2012

NOTE: All fields are required, except where indicated.

Name for the badge

Title (optional)

First name

Last name

University or Company

Department

Address

Postal code

City

Email

Phone

Fax (optional)

Baan code (For TU Delft employees only, please fill in the complete baan code) (optional)

 

ASCI member
Yes, I'm a ASCI PhD Student
Yes, I'm a ASCI staff member
No, but I'm a PhD student
No

Participates as
PhD student
Lecturer
Other

Duration of stay
Entire week
Springschool only
GNARP only

I arrive the night before GNARP
Yes
No

I join the social event (The program for the social event is not known yet)
Yes
No

Special diet (100 characters max) (optional)

 

Additional comments (250 characters max) (optional)

 

Overview conference fees in €

Membership	Full week	GNARP only
ASCI PhD	200	0
ASCI Staff	500	0
Non ASCI PhD	500	40
Other	1000	40
Optional extra nigth before the conference: € 85

 

Verification (use all 5 characters)

Fill in the text

 

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