BioHealth Computing
Pre-registration form for SaferNanoDesign 2017
Personal Information (pre-registration)
(*) Please fill all compulsory fields
(*) School
bioHC-SaferNanoDesign
(*) School year
2017
(*) Family name
(*) Given name
(*) Gender
(*) Date of birth
(*) Town of birth
(*) Country of birth
(*) Current nationality
(*) Email address
(*) Current status
Educational Establishment
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(*) City
(*) Country
Employer
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(*) City
(*) Country
(*) Are you employed or in an internship at CERN ?
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