Registration Form ‘c2c – Novel Quantum and Functional Materials’ This registration form has to be filled in English. All fields marked with

Registration Form ‘c2c – Novel Quantum and Functional Materials’

This registration form has to be filled in English. All fields marked with ‘!’ are mandatory.

Please send the completed registration form via email to c2c@fkf.mpg.de.

Note that you cannot change your data once they are submitted. For changes please contact the symposium organizers via c2c@fkf.mpg.de. After submission of the registration form, you will receive an electronic confirmation to the email address you have provided.

Registration Fee

There will be no conference registration fees.

However, registration using the registration form is mandatory for all the attendees.

Cancellation Policy

In case you cannot attend the symposium and you have already registered, please inform the symposium organizers via c2c@fkf.mpg.de.

Personal Data

! Status Delegate Student

Invited Speaker yes no

Title Ms Mr Dr Prof

! First name

! Familyname

! Organization

! Address

! City

! Postal Code

! Country

! Email address

!

Poster Presentation

yes no

! I will present a poster If yes, title of the poster

Disclosure

! I agree that my name, email and organization will be released on the list of participants

yes no

Workshop Dinners (Note: 20 euro will be charged for meals and refreshments)

! I will attend the barbecue August 7, 2017 (at MPI park)

! I will attend the conference dinner August 8, 2017 (Sophie's Brauhaus)

yes no

Data Protection Policy Please Note:

I consent to the storage of my personal data for administrative purposes related to the conference.

According to the German privacy law all data will be deleted after the conference.

! I have read and I accept the data protection policy yes no

Other Remarks

yes no