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REGISTRATION FORM
Online module A1 course
23-25 March 2027
PERSONAL INFORMATION
First / given name:
*
Last / family name:
*
University / institute:
*
<make a choice>
Wageningen University (WUR)
Groningen University (RUG)
Leiden University (LU)
Open University Heerlen (OU)
Radboud University Nijmegen (RU)
University of Amsterdam (UvA)
University of Twente (UT)
UNESCO-IHE Delft
Utrecht University (UU)
VU University Amsterdam
other
Please specify organisation:
*
Department
:
*
<make a choice>
Plant Sciences Group (PSG)
Environmental Sciences Group (ESG)
Animal Sciences Group (ASG)
Social Sciences Group (SSG)
Agrotechnology and Food Sciences Group (AFSG)
Research group / Chair group:
*
Working address:
(for invoicing)
*
Zip code:
*
City
*
Email:
*
Remarks:
* = input is required
We will not use your data for any other purposes than the organisation of this course. We will not share them with third parties and will remove them from our files after the logistic completion of the course.
If you have any problem filling or sending this form, please contact anouk.deplaa@wur.nl
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