Registration form

Profilehre registration

Title

Academic title

First name

Faculty

I am actively engaged in teaching with the following number of semester periods per week (SWS)

at the chair of

E-mail

Payment method

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internal billing (not possible for Uniklinik)

bank transfer (please state your home address)

Home address (street, house number, postal code, city)

Confirmation of participation and payment conditions:

I consent

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