Registration Form

Mandatory fields are marked with an asterisk.

Status*

Regular Participant

Student Participant

Invited Lecturer

FZJ member

Salutation*

Mr.

Ms.

Title*

Dr.

Prof.

First Name*

Last Name*

Institution*

Department*

Institution Street Name & Number*

Institution Postcode / Zip*

Institution City*

Institution Country*

Date of Arrival*

Date of Departure*

Nationality*

Residence Street Name*

Residence Street No*

Residence Postcode / Zip*

Residence City*

Residence Country*

Date of Birth*

Place of Birth: City*

Place of Birth: Country*

Email*

Phone Number*

Shuttle Bus*

From / to Dorint hotel

No shuttle

Food*

Regular

Vegan

Expectations

Research Interests

Comments

Data Policy*

I agree that my data will be stored and processed for the planning and the organization of the event. I also agree that my name, email address, institution, research interests and expectations are shared with Protochips.

Triton AX Live

a workshop hosted by the ER-C and Protochips

scientific exchange and live demonstrations on liquid-cell in situ TEM

REGISTRATION

Fee, Accommodation and Catering

Access

Contact

Registration Form