JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration BIKE course
Registration for the BIKE course
If you need support, contact us via e-mail at:
isna2@pi.iccom.cnr.it
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Participant-type
*
BIKE ESR
ISNA-2 lecturer
Representative of beneficiary/partner to BIKE project meeting
External participant
Other:
Required
First name
*
Your answer
Last name
*
Your answer
Institution
*
Your answer
Town
*
Your answer
State or Province
Your answer
Country
*
Your answer
Postal-code
*
Your answer
Work-status
*
Undergraduate student
PhD student
Post-doc
Researcher/Professor
Other:
Required
Participant expertise
*
Experimental
Theoretical
Required
Transportation
*
Train - also select "Other" ("Altro") below and specify from/to
Plane - also select "Other" ("Altro") below and specify from/to and flight numbers
Bus
Other:
Required
Date-of-arrival to Pisa
*
MM
/
DD
/
YYYY
Time-of-arrival to Pisa
*
Time
:
AM
PM
Date-of-departure from Pisa
*
MM
/
DD
/
YYYY
Time-of-departure from Pisa
*
Time
:
AM
PM
Staying at Hotel Repubblica Marinara?
Yes (unless BIKE ESR or ISNA2 lecturer, please contact/book HRM directly)
No
Indicate if you have food intollerances/allergies and to which food
Your answer
Indicate if you have dietary/religious restrictions and to which food
Your answer
Interested in hands-on session on Friday January 24th afternoon?
*
Yes
No
Required
Need-to-send-pdf/ppt-document (eg lecture or poster slides) ?
*
No
If Yes, sent it to
isna2@pi.iccom.cnr.it
- also select "Other" ("Altro") below and specify file name
Other:
For any questions send an email to:
isna2@pi.iccom.cnr.it
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms