Online Application SummerSchool PPH

Surname*

First Name*

Gender*

E-Mail Adress*

Phone Number (with country code)*

Date of birth*

Nationality*

Current Adress: Street

Current Adress: City

Current Adress: Country

Degree presently persued*

Major field(s) of Study*

University*

Month and year of enrolment*

Language proficiency in English*

Motivation for participation on the intensive Summer University*

Emergency Contact (for foreign students only)

Phone Number emergency contact (with country code)

Acceptance*

By accepting and submitting the present form to the Euroleague for Life Science, I agree to the processing of my personal data for the purpose of organizing and conducting the Summerschool "Pathogens, Parasites and their Hosts 2024" in accordance with the General Data Protection Regulation (EU-GDPR).

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