Registration Form Workshop Providing Evidence for Policy Making, 29 November, 2019

Rathenau Instituut
Anna van Saksenlaan 51
2593 HW Den Haag
Phone: +31(0)70 342 1542
Email address *
First name *
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Surname *
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Date of birth *
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University/Organisation *
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Department *
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Postal address *
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Postal Code *
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City *
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E-mail address *
Please double-check your email address for any spelling errors.
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If you have any dietary wishes, please specify below *
For sending the invoice of 100 EUR, please give following details accurately: 1. Your budgetnumber, or projectnumber, or needed reference 2. Exact address for sending the invoice 3. Contactperson for sending the invoice *
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A copy of your responses will be emailed to the address you provided.
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