evasys online-survey - PMIC Conference Participation

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Hochschule Kehl

PMIC

Wirtschafts- und Sozialwissenschaften

PMIC Conference Participation

1.Personal Information / Informations personnelles

1.1 First Name / Prénom

1.2 Last name / Nom de famille (dernier nom dans le passeport)

1.3 Academic Title (e.g. prof., dr.) / Titre académique (p.ex. prof., dr.)

1.4 Which institution do you want to see appear as your affiliation / Quelle institution souhaitez-vous voir apparaître comme votre affiliation ?

1.5 E-mail address / Adresse e-mail

1.6 Mobile phone number / Numéro de téléphone portable
Please include the country code, e.g. +49 or +221. / Veuillez inclure l’indicatif du pays, par exemple +49 ou +221.

PMIC Conference Participation

1.Personal Information / Informations personnelles

2.Participation at the Conference / Participation à la conférence