Registration form

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Meeting	16th Young Investigators Symposium
Date	2024-11-29
Location	Hotel CASA Amsterdam
Registration fee	€ 150,00 (€ 0,00 for members)

Title

Initials *

First name *

Infix

Last name *

Institute *

Department *

(Invoice) address *

Postal code *

City *

Country *

Phone *

Email address *

BIG registration number (if applicable)

Research activities *

Clinical research

Basic research

Both basic and clinical research

Other (please specify)

What stage of your academic career are you in? *

Would you like to participate in the Masterclass or Workshop? * Note: Participants in the early stages of their careers are strongly encouraged to submit an abstract and participate in the Masterclass. If you choose to attend the workshop, you do not need to submit an abstract and will not be eligible to win the NRS YIS Masterclass Prize of 500 euros. If the workshop reaches capacity, early career scientists will automatically be placed in the Masterclass.

NRS Mentorship Program

Are you looking for career guidance from a senior researcher outside your organization? The NRS mentorship program can help with that! For more information: https://www.nrs-science.nl/young-investigators/nrs-mentorship-programme/

Would you like to be contacted about the NRS mentorship program? *

I have taken note of the privacy policy of Netherlands Respiratory Society and agree with the terms. *

Please complete this form and submit it before October 17, 2024

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