Personal details

Name:

Email :

Address:

Telephone Number:

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

If "Other" explain:

Modules

Hereby 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

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:

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