Registration form FlatFish Symposium

1. Your data

Your data

First name*

Last name*

Address*

Postal code*

City*

Country*

Is the invoice address the same as the address mentioned above?*

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Invoice - name

Invoice - address

Invoice - postal code

Invoice - city

Invoice - country

Current position: choose one of the four below*

Student Postdoc Researcher Other

Email address*

Gender

Mr Ms

Please mention your diet wishes and allergies if you have any:

nationality

Nationality*

-- choose one of the following: -- Afghan Albanian Algerian American Andorran Angolan Arab Argentinian Armenian Aromanian Aruban Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Belarusian Belgian Belizean Beninese Bermudian Bhutanese Bosnian Brazilian British British Virgin Islander Bulgarian Macedonian Bulgarian Burkinese Burundian Cambodian Cameroonian Canadian Catalan Cape Verdean Chadian Chilean Chinese Colombian Congolese Costa Rican Croatian Cuban Cypriot Turkish Cypriot Czech Danish Dominican Dutch East Timorese Ecuadorian Egyptian Emirati English Eritrean Estonian Ethiopian Faroese Finnish Finnish Swedish Fijian Filipino French citizen Gambian Georgian German Baltic German Ghanaian Gibraltar Greek Greek Macedonian Grenadian Guatemalan Guinean Guyanese Guinea-Bissau national Haitian Honduran Hong Kong Hungarian Icelandic Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivoirian Jamaican Japanese Jordanian Kazakh Kenyan Korean Kosovo Albanian Kurd Kuwaiti Laotian Latvian Lebanese Liberian Libyan Liechtensteiner Lithuanian Luxembourger Macedonian Malaysian Malawian Maldivian Malian Maltese Manx Mauritian Mexican Moldovan Monacan Mongolian Montenegrin Moroccan Myanmar Namibian Nepalese New Zealander Nicaraguan Nigerien Nigerian North Korean Norwegian Omani Pakistani Palauan Palestinian Panamanian Papua New Guinean Paraguayan Peruvian Polish Portuguese Puerto Rican Quebecer Réunionnais Romanian Russian Baltic Russian Rwandan Salvadoran São Tomé and Príncipe Saudi Scottish Senegalese Serb Sierra Leonian Sikh Singaporean Slovak Slovenian Somali South African South Korean Spanish Sri Lankan St Lucian Sudanese Surinamese Swazi Swedish Swiss Syrian Taiwanese Tanzanian Thai Tibetan Tobagonian Trinidadian Tunisian Turkish Turkmen Tuvaluan Ugandan Ukrainian Uruguayan Uzbek Vanuatuan Venezuelan Vietnamese Welsh Western Samoan Yemeni Zaïrean Zambian Zimbabwean

Organisation name*

Phone

Special requirements for the invoice, for example whom to address, different names, PO numbers, etc.

Privacy*

I agree with the use of my personal data for the purpose detailed above. The privacy statement of WUR applies to this use of your personal data.

Read the privacy statement