Registration Form for the School of GEOQUANT2019 by Students/Postdocs

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IMPORTANT: Upon submitting this Form, an email will be sent to the email address provided by you below. The email contains a link with which you can come back to update your registration information. The email is a confirmation of receiving your registration only. If you are not already an invited speaker, you are not officially accepted to the event until you receive a confirmation from the GEOQUANT Committee.

Email *

Family Name *

First and (Optional) Middle Names *

Affiliation (Institution, City) *

Your Scientific Level *

Postdoc

PhD Student

Master Student

Undergraduate Student

A short statement why you are interested in the School. *

Title of your PhD, Master or Undergraduate Thesis

Are you requesting financial support? *

Yes

If yes, please provide a description and estimate of support below. If you are not in Taiwan, please ask your supervisor to send a message to "geoquant (at) uni.lu" and .

Do you plan to attend the follow-up Conference? *

Yes

Date of Arrival in Taiwan

YYYY

Arrival Time, Flight Number

Date of Departure from Taiwan

YYYY

Departure Time, Flight Number

Accommodation needed for the School in Hsinchu (No guarantee for requests made on or after 13 August)

Yes

Clear selection

If yes, specify the Check-in, Check-out Dates

Accommodation needed for the Conference in Jinshan (No guarantee for requests made on or after 26 August)

Yes

Clear selection

If yes, specify the Check-in, Check-out Dates

Some student rooms are shared. Please specify your gender if you choose "yes" for accommodation in Hsinchu or Jinshan.

Female

Male

Other:

Clear selection

Dietary Restrictions

None

Vegetarian

Other:

Clear selection

Are you interested in presenting a poster in one of the poster sessions of the School or the Conference?

Yes, at the School

Yes, at the Conference

Clear selection

If yes, please provide a title of your proposed poster contribution.

There are a limited number of slots for contributed talks in the School and the Conference. Are you interested in giving a contributed talk?

Yes, at the School

Yes, at the Conference

Clear selection

If yes, please provide a title of your proposed contributed talk.

A copy of your responses will be emailed to the address you provided.

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