Application for Summer University for Plasma Physics and Fusion Research 17 - 21 September 2018, Greifswald
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All fields are mandatory!

	Form of address:	Mr. Ms.

	I am	Master student PhD student Others If others, please specify:

	Family name:
	First name:
	Date of birth (yyyy/mm/dd):
	Nationality:
	Street:
	ZIP code:
	City:
	Country:
	Phone number: (incl. internat. dialing code)
	E-mail address:
	University/Institution:

Please note: Applicants selected for participation are charged a non-refundable participation fee of 50.00 EURO.

Please attach the following documents (pdf-file):

	1	Bachelor Degree Certificate or Intermediate Diploma Certificate (Vordiplom) (these documents serve as evidence for your basic physics studies)
	2	Short curriculum vitae