Registration Form Women in Automorphic Forms

Online Registration

First Name*

Family Name*

Affiliation*

E-mail Address*

Arrival Date

Departure Date

I would like to contribute a speed talk (If yes, you will be contacted by email for more details)

Yes

Would you like to attend conference dinner?*

Yes

Remarks

List of participants*

Yes, I agree with the publication of my name and my affiliation in the list of participants of conference. I can withdraw my agreement at any time and with immediate effect.

No, I do not agree.

Agreement*

I hereby agree that my personal data may be stored and processed by the Institute of Mathematics of Konstanz University for the purpose of the conference. I can withdraw my agreement at any time and with immediate effect.

Registration Form Women in Automorphic Forms

Registration Form Women in Automorphic Forms

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