Registration form: Conference "Molecular Biology of Plants"

Gender Mrs Mr Other
First and Middle Name
Family Name
Affiliation
University
Department
Name of principal investigator (PI)
Street
Postcode / ZIP code
City
Country
Telephone
E-mail
E-mail (validation)

I want to take a bus from Bergisch-Gladbach to the venue (18.02.2019):
No 1:00 p.m. 2:30 p.m.

I want to take a bus from the venue to Bergisch-Gladbach station (21.02.2019):
No 12:00 p.m. 1:00 p.m.

I unsuccessfully signed up last year:
Yes No

I am a
doctoral student/first year postdoc
postdoc
group leader (you may not need to fill out the following lines)
other

I submit a contribution with the following title

Presenting author (full first and family name)

maximum 5 keywords that may help us with the organisation of the agenda

I want to present my contribution as
Poster
Talk
No contribution

Notice: Following our experiences we must admit that we won’t be able to fulfil all wishes.

Travel Allowance for PhD students only

I’m a member of the Section Plant Physiology and Molecular Biology: Yes (if not: become a member first)
and I would like to apply for one of the travel allowances: Yes

My contribution belongs to the category:
Abiotic interactions
Biotic interactions
Cell Biology
Cell Development
Evolution / evo-devo
Genomics and transcriptomics
RNA Biology
Molecular Physiology
Organelles
Signal Transduction / gene regulation
Technical Advances / application
None of the above

I need an accommodation: Yes No

I would like to share a double room preferably with If you do not provide a name, you will be assigned by gender (see above).

Comments (Please do not insert an abstract here):

Anti-spam Verification:
The year this meeting takes place in (4 digits):

Registration and Data Protection
To register for the Conference "Molecular Biology of Plants" we process your personal data. Storage, saving and further processing of data that you submit to us is indispensable. The data are solely collected to prepare, organize, carry out and prepare the follow-up of the conference. Your name and affiliation will solely be transferred to the conference Hotel (Conference Hotel "Maria in der Aue": https://tagen.erzbistum-koeln.de/mia_2014/index.html) that manages the room bookings. Your data will not be disclosed to third parties for advertising purposes without your consent.

Follow up
We would like to inform you about the upcoming conference in the next year. You can revoke consent to this at any time for the future by writing an e-mail to organisers@pflanzen-molekularbiologie.de. The data processed before we receive your request may still be legally processed.

Attendance
At our conference, you will be asked to wear a name badge. Furthermore, please be aware that members of the press might attend.

Image Rights
By registering, participants agree that during their attendance pictures may be taken of him/her by an official of the conference. The participants agree that the organising committee might use these pictures (e.g., to publish online, etc.). If you do not wish to have your photograph taken, you are required to formally advise the organising committee in advance by writing an e-mail to organisers@pflanzen-molekularbiologie.de. Please provide the following data: name, address, e-mail).

Privacy Policy
How we will use and protect your information is also provided in our Privacy Policy.

I have read and understood the General Terms and Conditions that apply to the registration and participation in the conference.

By clicking on the “send” button I agree to this procedure and that the data I provided are managed and stored by the organizing committee.