Registration

REGISTRATION FORM ANNUAL MEETING GRADUATE SCHOOL NEUROSCIENCES AMSTERDAM ROTTERDAM AND CLINICAL AND EXPERIMENTAL NEUROSCIENCE (CEN-UTRECHT)

Dates meeting: 25th and 26th of November 2021

Please fill out the form below.
I will participate in the annual meeting:

Mr.   Ms.
Family name:
First name:
Graduate school:ONWAR   CEN
Start date of PhD-appointment:
End date of PhD-appointment:
Department:
Institute:
University:
Telephone number:
E-mail:
In 2021 I want to present:an oral presentation   a poster   a blitz + poster
In 2019 I presented:a poster   a blitz + poster
Title of oral presentation or poster:


ACCOMMODATION
For ONWAR-PhD-students: Participation in this meeting is obligatory, so this means two days, including dinner on the first day and staying overnight at the conference center. The costs for this are €300. However, these costs will be waived if you attend both days. If there is a special reason why you cannot attend the full meeting, you will have to let us know before the 1st of October, otherwise the costs will be charged to you(r department.)

For CEN-PhD-students: Participation in this meeting is not obligatory, but same rules apply regarding (waiving of) costs as for ONWAR-PhD-students.

I wil attend the meeting: on both days of the meeting (including dinner and staying overnight)
Rooms should be shared (2 persons per room). Please indicate with whom you would like to share your room:

MEALS
Please indicate whether you have special dietary rules (i.e. vegetarian, diet, etc):

BUS SHUTTLE
I would like to make use of the bus shuttle between the Driebergen/Zeist train station and Woudschoten (Thursday morning and Friday afternoon) (please tick one box):Yes   No

ABSTRACT (downloadable form)
Please pick a topic:
Please pick a technique:
Please pick a model organism:
3 keywords:


Please download this word file, write your abstract, and send this to r.lustenhouwer@vu.nl after you registered. Deadline for registration and abstract submission: September 3rd, 2021. After you downloaded the file you can continue filling out this form.


Comments (if any):


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