SFB 878 Groups, Geometry and Actions

Buildings 2013: Registration form

I would like to take part in the workshop Buildings 2013, October 7 -9, 2013.
The registration deadline is August 31, 2013

Last name
First name
	Professor PhD Student
Address (University)		Address (private)
			(if financial support is requested)
email
date of birth (DD.MM.YYYY)	(if financial support is requested)

Lodging:
Please make a reservation for me for a
single room
double room, shared with

Day of arrival
Day of departure

I apply for financial support for travel costs in the amount of
Euro (estimated)
German citizens only:

Finanzamt

Steuernummer

I have a european bank account to which my honorarium shall be transferred.

IBAN/BIC

Account number

Banking Institute

I do not have a european bank account. / I prefer cash payment.

I would like to present a talk if possible

Title:
Minutes:

I would need a babysitter for my child/children:

number of children
age of children
Period of child care (days, time period)

If you should have any comments or messages, please add them in the field below or send an email to the secretary of Prof. Kramer: Angela Loew or Elke Thiele

Last modified: 07/30/21, 12:19:06