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 Year20222023202420252026 Year Arrival at Bielefeld | Time Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Departure from Bielefeld | Date MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20222023202420252026 Year Departure from Bielefeld | Time Hour123456789101112 Hour :Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Minute am pm Transport Flight Train Other Special needs (food, accommodation,...) Submit
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