PhD Course Registration Form 2019-2020

Participant Details

First name *

Surname *

What applies to you? *

Academic institution or Company *

Faculty or Department *

Street Address *

Apt / Office

Postal code *

City *

Country *

Email address *

VUNET id (if applicable)

VU Student number (if applicable)

Place of Birth *

Date of Birth *

dd/mm/yyyy

To what address should the bill be send? *

Bill me on the address above

Bill me on another address

In case the course will be financed by your University or Company please do not forget to include a reference number or cost center, otherwise, your institution will not pay the invoice and consequently, we will be unable to proceed with registration.

Reference number or cost center

Billing Address

First Name *

Surname *

Reference *

Academic Institution or company *

Faculty or Department *

Street address *

Postal code *

City *

Country *

Email address in case it is another person than yourself

Optional questions or comments

For the complete course schedule and location, please refer to the following link:
https://www.abri.vu.nl/en/doctoral-education/phd-programme/schedule/time_and_location/index.aspx