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Workshop Participant
This form should be filled in by participants who do NOT intend to stay in Yad Hashmona overnight.
Deadline:
October 18, 2023
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Name
*
Your answer
Surname
*
Your answer
Salutation
*
Mrs
Mr
Dr
Prof
Email
*
Your answer
Gender
*
Female
Male
Prefer not to say
Affiliation
*
(institution)
Your answer
Position
*
PhD/MSc student
Postdoctoral associate
Regular faculty
Retired faculty
Other:
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