Formato de solicitud/Application form 1 Start 2 Complete Academic title * First name(s) * Last name(s) * Discipline * Institution * Country * Street and number (home address) * Postal Code (home address) * City (home address) * eMail * Arrival at Bielefeld | Date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20232024202520262027 Year Arrival at Bielefeld | Time Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Departure from Bielefeld | Date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20232024202520262027 Year Departure from Bielefeld | Time Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Transport Flight Train Other Special needs (food, accommodation,...) Photos and videos will be taken during the event. The panels will be streamed live via youtube. By participating, you agree to the use of image and sound recordings. Submit
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