Institute of Organic Chemistry

Alumni Registration Form

Are you a former student, doctorand etc. from our Institute? If so, we would very much appreciate to learn about your current status. Please fill out the form below, you may answer as many items as you like. Your data and comments will be published on our Alumni page. Thank you very much.

Surname:	

First Name:

Current affilation:

Address:

Zip/City code:

City:

State/Country:

Phone:

FAX:

e-mail-Address:

Degree/Status:

Temporary Coworker   Vordiplom   Hauptdiplom   Promotion   Postdoc   Habilitation
Year degree received	

In which research group have you been?

Comments and additional information: please specify some dates, information etc. which you want your former colleagues to know




Many thanks!


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Last update: October 18, 1999 by W. Bauer