MC4IM Training Course: Registration form

Registration for EURADOS Training Course "Application of Monte Carlo Methods for Individual Monitoring and Dosimetry of Ionizing Radiation"

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Herewith I confirm that all data are being filled in correctly. The personal data I have entered into the form’s fields (e.g. name, e-mail-address and telephone number) will only be used to the extent necessary for the performance of the listed event on the legal basis of Article 6 (1) b) GDPR. My data will be retained for a maximum of 11 years according to § 147 of the Fiscal Code of Germany (AO). I know that I can revoke my consent to the collection, use and storage of my personal data at any time by sending my revocation to office@eurados.org. With my signature, I agree to the Data Privacy Statement, which I have read.

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Family name *

First name *

Title and job position

Email *

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Telephone

Institution *

Laboratory/Department (if different)

Address *

Address 2

City/Town *

ZIP/Postal Code *

Country *

registers for the participation in the EURADOS Training Course "Application of Monte Carlo Methods for Individual Monitoring and Dosimetry of Ionizing Radiation".

My institution is a EURADOS Sponsor

Yes

A list of EURADOS Sponsors can be found here.

The participation fee is 250 EUR.
For EURADOS Sponsors and students the fee is 200 EUR.

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Proof for student status

Being a student, you are eligible for the reduced participation fee of 200 €. Please provide a proof for your enrollment at a university.
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3 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Monte Carlo code(s) used

Please note: The tutor-led practical sessions will use MCNP.

Monte Carlo experience

None

Beginner

Intermediate

Expert

Dosimetry experience

None

Beginner

Intermediate

Expert

Please indicate the invoice address (if different from above):

Name / Institution

Address

Address 2

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For EU-residents, the VAT ID will be checked for validity. Otherwise additional 7 % VAT will be issued.

PO number

If you need a purchase order procedure in advance, please indicate the purchase order number here.

Contact person email (if different from above)

Special dietary requirements

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Registration for EURADOS Training Course "Application of Monte Carlo Methods for Individual Monitoring and Dosimetry of Ionizing Radiation"

Hereby,

registers for the participation in the EURADOS Training Course "Application of Monte Carlo Methods for Individual Monitoring and Dosimetry of Ionizing Radiation".

The participation fee is 250 EUR. For EURADOS Sponsors and students the fee is 200 EUR.

Please indicate the invoice address (if different from above):

A confirmation will be sent by e-mail. You might check your spam folder if it is not received.

The participation fee is 250 EUR.
For EURADOS Sponsors and students the fee is 200 EUR.