MathBio22 - Registration

Personal Data

  Ms.      Mr.      other     
 
 Title Prof.      Dr.      other     
 



(*)Last (Family) Name
(*)First (Given) Name
(*)Affiliation/
Institution
 Department
(*)Street
(*)City
(*)Postcode/ZIP
(*)Country
(*)Email

Presentation

(*)Type of Presentation invited talk      contributed talk      poster      none     
 Title of Presentation
TXT or LaTeX code
 Abstract
TXT or LaTeX code
 Do you want a printed book of abstracts? yes      no     

Attendance

 Do you need an invitation for a visa? yes      no     
 Date of Arrival (dd/mm/yyyy)
 Date of Departure (dd/mm/yyyy)
 I will participate in the dinner
on 13th September (evening)
 yes      no     
 If yes, please give the number of persons attending dinner and state your dining wishes, if any.
  vegetarian      vegan      lactose-free      gluten-free     

Conference fee information

 Date of Payment

(*)I would like to attend the talks on-site. yes      no     

The number of on-site attendees will depend on the COVID-19 developments. We adhere to all COVID-19 regulations. If your on-site attendance requires travel, please contact us before making any arrangements.

In case you want to take part in the conference on-site, due to the current COVID-19 regulations we need the following additional information from you:

 Phone Number
 Locations (country, city) within 2 weeks before beginning of the conference

This data will be stored for four weeks (for disclosure to the local health authority on request in accordance with the Containment Measures Ordinance) and subsequently deleted.

Remarks

  

Data Privacy Statement

All data in this form will be used in internal lists necessary for the organization of the workshop. Information concerning talks and posters together with name/institution of the authors, with the title, and, where applicable, with the abstract, will be published in the book of abstracts and on the webpage of the workshop. Moreover, the contact details of all participants, including email addresses, will be made available in the printed version of the book of abstracts. All other personal data necessary for the organization of the workshop (i.e. arrival date, dinner and so on) will only be used in internal lists and will be deleted shortly after the workshop. More information about how we treat your data can be found here.

(*)Do you agree with using your data for the workshop organization? yes      no     



We would like to put the names and affiliations of all participants on the workshop homepage.

(*)Do you agree to be listed on the workshop homepage? yes      no     



We would like to take pictures of the participants during the workshop.

(*)Do you agree that pictures of you are taken, saved and published on the webpage of the workshop? yes      no     



For future workshop announcements we would like to save your email address to contact you.

(*)Do you agree with saving your email address? yes      no     



After you register, we will send an e-mail confirmation from the e-mail address mathbio22.registration@wias-berlin.de within three business days. IF YOU DO NOT RECEIVE THIS E-MAIL, please contact us (mathbio22@wias-berlin.de) as we may not have received your registration form.