ISL - 3rd ISP PhD Workshop 2022

Page 1 of 3

3rd ISP PhD Workshop 2022

INTERNATIONAL SOCIETY ON PULSED POWER APPLICATIONS e.V.

1^st and 2^nd December 2022

ISL - French-German Research Institute of Saint-Louis, Saint-Louis, France

Title

Invalid Input

First Name(*)

Invalid Input

SURNAME(*)

Invalid Input

Birthname (Surname)(*)

Invalid Input

Date of Birth(*)

Invalid Input

Place of Birth (town, country)(*)

Invalid Input

Nationality(*)

Please review.

I am(*)

a studenta supervisoran ISP company member Invalid Input

My attendance(*)

I am coming aloneMy supervisor will accompany me Invalid Input

Name of my accompanying supervisor

Invalid Input

I am requesting re-imbursement of one hotel night(*)

YesNo Invalid Input

Name of accompanied student(*)

Invalid Input

Company / Department(*)

Invalid Input

Address(*)

Invalid Input

Postal code(*)

Invalid Input

Town(*)

Invalid Input

Country(*)

Please review.

Telephone(*)

Invalid Input

E-mail(*)

Invalid Input

I hereby authorize ISL to communicate my e-mail to other participants Invalid Input

We will deliver a list of participants including name, first name, entity and e-mail. Your e-mail will appear in this list only if you tick the box.

Certified institute	A joint initiative	Member of "Institut Carnot MICA"	Joint laboratory