Registration FameLab 2020
09-04-2020 Delft University of Technology
Last name
*
First name
*
Registration date
*
-
-
Date - Month - Year
Email adress
*
someone@example.com
Email
Mobile
*
06-12345678
Address
Gender
*
Male
Female
Date of birth
*
-
-
Day-Month-Year
How did you hear about us?
Job title
*
PHD candidate
Researcher
Postdoc
MSC student
Other
Department
*
Qualification
*
6 + 9 =
*
Area of Study
*
Previous presentation experience
*
Entry reasons
*
Presentation topic
*
Biography
*
Objection to Photo / Video
*
Yes
No
Objection to marketing?
*
Yes
No
Preferred training date
*
12th of March 2020 13.30-17.00 hr
26th of March 2020 13.30-17.00 hr
