Registration IZKF-Symposium 2024
Salutation*
Please select an optionMrs/MsMrdivers
Title*
Please select an optionProf. Dr. rer. nat.Prof. Dr. med.PD Dr. rer. nat.PD Dr. med.Dr. rer. nat.Dr. med.PhDno titleOther Other:
First Name*
Last Name*
E-Mail*
Phone Number*
Employee Status*
Friedrich-Alexander Universität Erlangen-NürnbergUniversitätsklinikum ErlangenStudent FAUExternal External:
Department/ Institute/ Clinic*
Please select an optionChair for Anatomy and Cell BiologyChair of BiophysicChair of Clin. Pharmacol. and Clin. Toxicol.Chair of Experimental Medicine I (Molecular Pathogenesis Research)Chair of Experimental Medicine II (Molecular Oncology)Chair of Functional and Clinical AnatomyChair of Mathematics in Life SciencesChair of Medical Biometry and EpidemiologyChair of Medical BiotechnologyChair of Orthopedics and Orthopedic SurgeryChair of Pharmacology and ToxicologyFaculty of MedicineDepartment Biology - Chair of Animal PhysiologyDepartment Biology - Chair of BiochemistryDepartment Biology - Chair of BiotechnologyDepartment Biology - Chair of Cell BiologyDepartment Biology - Chair of Developmental BiologyDepartment Biology - Chair of GeneticsDepartment Biology - Chair of MicrobiologyDepartment Biology - Chair of Molecular Plant PhysiologyDepartment Biology - Chair of Pharmaceutical BiologyDepartment Biology - Professorship for BioinformaticsDepartment of AnesthesiologyDepartment of Biology - Professorship for Computational BiologyDepartment of Biology - Transgenic FacilityDepartment of Cardiac SurgeryDepartment of DermatologyDepartment of Medicine 1Department of Medicine 2Department of Medicine 3Department of Medicine 4Department of Medicine 5Department of Molecular PneumologyDepartment of NeurologyDepartment of NeurosurgeryDepartment of Nuclear MedicineDepartment of Obstetrics and GynecologyDepartment of Operative Dentistry and PeriodontologyDepartment of OphtalmologyDepartment of Oral and Cranio-Maxillofacial SurgeryDepartment of Orthodontics and Orofacial OrthopedicsDepartment of Orthopaedic and Trauma SurgeryDepartment of OtorhinolaryngologyDepartment of Pediatrics and Adolescent MedicineDepartment of Pediatrics and Adolescent MedicineDepartment of Plastic and Hand SurgeryDepartment of ProsthodonticsDepartment of Psychiatry and PsychotherapyDepartment of Psychiatry and Psychotherapy - Division of Psychosomatics and PsychotherapyDepartment of Radiation OncologyDepartment of Stem Cell BiologyDepartment of SurgeryDepartment of UrologyDepartment of Vascular SurgeryDivision of Experimental TherapeuticsDivision of Immune ModulationDivision of Infection BiologyDivision of Molecular ImmunologyDivision of Molecular NeurologyDivision of NephropathologyDivision of Palliative MedicineDivision of Pediatric Cardiac SurgeryDivision of Pediatric SurgeryDivision of Thoracic SurgeryDivision of Transfusion Medicine and HemostateseologyDivison of Child and Adolescent Mental HealthInst. of Medical Informatics, Biometry and Epidemiology - Chair of Digital HealthInst. of Medical Informatics, Biometry and Epidemiology - Chair of Med. InformaticsInst. of Medical Informatics, Biometry and Epidemiology - Chair of Medical Biometry and EpidemiologyInstitute for Biomedicine of AgingInstitute of AnatomyInstitute of Biochemistry - Chair of Biochemistry and PathobiochemistryInstitute of Biochemistry - Professorship for Biochemistry and Molecular PathobiologyInstitute of Biochemistry - Professorship of BioinformaticsInstitute of Biochemistry - Professorship of Mol. Medicine with focus on Mol. ImagingInstitute of Biochemistry-Chair of Biochemistry and Mol. MedicineInstitute of Cellular and Molecular PhysiologyInstitute of Clinical and Molecular VirologyInstitute of Experimental and Clinical Pharmacology and ToxicologyInstitute of Forensic MedicineInstitute of General PracticeInstitute of Human GeneticsInstitute of Medical PhysicsInstitute of MicrobiologyInstitute of Occupational, Social and Environmental MedicineInstitute of PathologyInstitute of Physiology and PathophysiologyInstitute of RadiologyInstitute of the History of Medicine and Medical Ethics - Chair of the History of MedicineIZKF Administrative OfficeOther
Other:
Function*
Please select an optionParticipantFurther
If further, which one?
Poster presentation*
Please select an optionYesNo
Title of poster
Research Area
Please select an optionImmunology and InfectionOncologyNeuroscienceRenal and Vascular ResearchMedical EngineeringFurther
I will participate on*
20.06.202421.06.2024
I will have dinner on the following days *
20.06.202421.06.2024no dinner needed
Nutrition / food intolerances / allergies / etc.*
NoYes Please specify your nutrition / intolerances/ allergies/ etc.:
I herewith book an overnight stay for the following days at the conference venue:*
20./21.06.202421./22.06.2024no room needed
Desired room type:*
Single roomHalf of a double roomno room needed
Name of the person the double room is shared with
The participation fee (including overnight stay and all meals) is 100 € per participant.
Financing:
no participation fee (speaker, doctoral candidates and young researchers at the IZKF who present their own poster as part of the accompanying poster exhibition)internal settlement (Kosten-/Finanzstelle)invoice
Please state Kosten-/Finanzstelle OR the correct billing address:
Comments:
By submitting my application, I agree that my data above will be collected, processed, used and transmitted by the Universitätsklinikum (University Hospital) Erlangen/ IZKF Administrative Office in accordance with the provisions of the Bavarian Data Protection Act (BayDSG) for the purpose of the organisation of the IZKF Symposium. The personal data is stored for a specific purpose.