YouCliN Registration Form

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This web form is meant to enter your email address to a list that is used to send out important information about upcoming courses, opportunities, and alike related to YouCliN activities. In case you would like to unsubscribe, please answer "unsubscribe" to the first question. The entry containing your email address will manually be removed from the list.

Email *

Do you want to receive updates from YouCliN? *

yes

Required

What is your first name? *

What is your last name? *

Which is / are your specialty/ies?

Biological psychiatry

Fundamental Neurosciences

Neurology

Neuropaediatrics

Neuropathology

Neuropsychology

Neurosurgery

Neuroradiology

Other:

Clear selection

Which is your current affiliation?

Aarau

Basel

Bern

Genève

Lausanne

Lugano

Luzern

St. Gallen

Zürich

Other:

Clear selection

A copy of your responses will be emailed to the address you provided.

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