Request edit access
Uitnodiging openbare verdediging Rutger IJntema 
Sign in to Google to save your progress. Learn more
Wat is je voor- en achternaam?
What is your full name?
Wat is je email?/ What is your email?
Ben je aanwezig bij de verdediging op de locatie?
Will you attend the defense at the location?
*
Ben je online aanwezig bij de verdediging? (Zo ja, link volgt)
Will you attend the defense online? (If yes, link will follow)
Clear selection
Ben je aanwezig tijdens de receptie? 
Will you be present during the reception?
*
Wil je een versie van het proefschrift ontvangen?
Would you like to receive a printed version of the thesis? 
Clear selection
Indien - Ja, geprinte versie: Schrijf je postadres hieronder
If - Yes, printed version: Write down your postal adress below
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report