Workshop registration form

Details of the offered workshop

Title of the workshop

If the workshop is limited to one day, please only fill in the start date.
Start Date
End Date

Your Home Institution

Venue information

Name of venue
Address of Venue
Postcode and City of venue
Country of venue

Information about the contact person for the workshop

Name of the contact person
E-mail of the contact person
Phone number of the contact person
Adress of the contact person
Postcode and City of the contact person

Information about the content of the workshop

Rational and scientific aim of the Workshop

Preliminary Scientific Programm

Preliminary list of invited Speakers

Scientific Organizing Committee (SOC) and Local Organizing Committee (LOC)

Foreseen number of participants

Presumed total cost of the Workshop and other sources of support

Amount requested (in Euro)