Current Research at the Interface of Continuum Physics and Applied Mathematics (in memoriam Wolfgang Dreyer) - 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      none     
 Title of Presentation
TXT or LaTeX code
 Abstract
TXT or LaTeX code

Attendance

 Date of Arrival (dd/mm/yyyy)
 Date of Departure (dd/mm/yyyy)
(*)I will participate in the dinner
on 09.10.(evening)		 yes      no     

Remarks

 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 wd-workshop.registration@wias-berlin.de within three business days. IF YOU DO NOT RECEIVE THIS E-MAIL, please contact us (WD-WORKSHOP@wias-berlin.de) as we may not have received your registration form.