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First name
Prefix (de, van etc.)
Last name
E-mail address
LinkedIn webpage
Affiliation
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UU, Faculty of Science
UU, Faculty of Veterinary Medicine
UMC Utrecht
Hubrecht Institute
Princess Maxima Center for Pediatric Oncology
Other (fill in below)
Other affiliation
I am part of the RMU community
Yes
No
Job Title
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Bachelor student
Master student
PhD student
Postdoc
Technician
Assistant Professor
Associate Professor
Professor
Other (fill in below)
Other job title
All food provided will be vegetarian.
If you have any additional dietary restrictions, please specify them here.
I will join lunch
Yes
No
I will join bites & drinks
Yes
No
I do agree to save my contact details for mailings about future RMU events.
I am aware that I might be filmed/fotographed during the Science event.
If I do not agree, I will inform the organizers during registration on the day of the event.
I have following remark/request
We are planning on using this on the day itself to easily connect!