Registration form – Helmholtz Price 2024

Application

Data of the submitter

Salutation*

Title

First name*

Surname*

Street & house number*

Zip code*

City*

Country

Email*

Phone number

Information about the work

Title of the work*

Abstract of the work*

Category of the price*

List of all proposed prize winners

Proposed prize winners*

Upload of the complete documents

Only files in pdf format are allowed. Please select all files at the same time. Alternatively, you can merge your files into one pdf file.

Application documents*

Disclaimer

Disclaimer*

I hereby confirm that I give my consent to the Organisers and Jury Members to process my information. In case the submitted application is for a third person, I confirm that this person has given me his consent.

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Application

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