Registration for the ITPA Workshop
.

All fields are mandatory!

	ITPA:	ITPA MHD ITPA IOS
	Surname:
	Name:
	Contact email:
	Institution:
	Institution address:
	Institution phone number:

	Visa requirements:	yes no
	If yes:
	Passport number:
	Address:
	Issue date:
	Expire date: The passport has to be valid at least 6 months after departure.

Social dinner participation:

yes no

	Presentation:	yes no
	Presentation title (tentative):

Participants need to book hotels themselves. The hotel list can be found on our website.

(c) 2016 This registration system has been created by GWDG, Göttingen.