Personal details

First Name:

Last Name:

Email :

Affiliation : Category :

Address:

Telephone Number:

Association to EU programs:

Are you a PhD student or a university post-doc?

If "Other" explain:

Modules

I subscribe for the following module:

 Yes, in case the practical sessions will be fully booked I am still interested in following the theoretical courses. In this case the registration fee will be reduced to half.

PLEASE NOTE THAT IT IS NOT POSSIBLE TO COMBINE MODULES SINCE THEY ARE SIMULTANEOUS.

Background

Your TEM background can be described as:

Briefly describe your background, motivation and give a short description of electron microscopes and techniques used so far:

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A copy of this form will be emailed to you. If you do not receive it, please contact the Workshop organisation at ematworkshop@uantwerpen.be