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CENSTAT


CENSTAT

Universiteit Hasselt - Knowledge in action

REGISTRATION FORM

 
  Title : Prof. Dr. Mr. Mrs.(*)
  First name : (*)
  Last name : (*)
  E-mail : (*)
  Telephone/cell : (*)
  Organization/Institute : (*)
 Address line 1 :
(*)
 Address line 2 :
 Postal/Zip code:
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  City:
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 Country:
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  I register for the Summer school € 450. (*)
Students of co-funding Doctoral Schools will be given a refund after successful completion of the summer school and sending a scan of student card to martine.machiels@uhasselt.be.
I am a student of the doctoral school of UGent or UHasselt.
 Dietary request:
 

 Social event (walk and dinner, 8 september) € 55.(*)
  I will attend the social event.
  I will not attend the social event.
 
  Invoice:(*)
  I need an invoice.
VAT number organization/institute: 
 
  Payment method : Bank transfer   Online Payment   (*)


  Total amount paid
(*)mandatory fields