Registration Form New IPA Ph.D. Member

Information

Name:
Initials:
Title:
Institute:
Department:
Office:
Address:
Postcode:
City:
Group:
Phone (home):
Phone (work):
Phone (mobile):
Fax number:
E-mail:
Birthdate:
Gender:
Male Female
When did you start as Ph.D. student:
What kind of Ph.D. position:
(AiO1,2,3, OiO, etc.)
FTE in IPA:
Is there an Education and Supervision plan:
(Opleidings- en begeleidingsplan)
Yes No
What university did you attend:
What subject did you study:
When did you start your study:
When did you finish your study:
Who was your thesis supervisor:
What was the topic of your thesis:
Did you do your thesis in the group you are in now:
Yes No
What is the title of your Ph.D. project:
Give a short description of your project:
Who are your supervisors:
How is your project funded:
In which research area is your project:
(More than one choice allowed)
Algorithmics and Complexity
Formal Methods
Software Technology
Which IPA courses did you attend:

Submit