Membership
Snellius membership form
*Vereist
First Name *
Jouw antwoord
Last Name *
Jouw antwoord
Birthday *
MM
/
DD
/
JJJJ
TUDelft email adress *
Jouw antwoord
Personal email adress *
We may want to contact you some time long after your tudelft email adress expires!
Jouw antwoord
Phone number *
Mobile number you currently use
Jouw antwoord
Home address: Street and number *
Jouw antwoord
Home address: Zip code *
Jouw antwoord
Nationality *
Jouw antwoord
Are you a student or PHD? *
Background *
What and where did you study? Study/University/Country
Jouw antwoord
In case of PhD: What is your PhD about?
Just out of interest!
Jouw antwoord
I agree to pay the mandatory membership fee.
Students: 15 Euro PHD: 35 Euro
Verzenden
Verzend nooit wachtwoorden via Google Formulieren.
Deze content is niet gemaakt of goedgekeurd door Google. Misbruik rapporteren - Servicevoorwaarden - Privacybeleid