REGISTRATION FOR OPEN HOUSE
REGISTRATION OPEN TILL 25 MAY 2015

Programme in English

   
 

1st OPEN HOUSE FOR STUDENTS AT EMBASSY OF INDIA,BERLIN (University & Research students from Berlin, Potsdam, Cottbus, Chemnitz, Dresden, Halle, Hannover and Leipzig.)

Title Mr. Ms. Dr.
   
Name
   
Surname
   
Date of birth*
   
Street*
   
Postal Code
   
City
   
Telephone
   
Email
   
University
   
Specialization
   
Questions
   
       Bachelors/Graduate
       Post Graduate
      Doctoral/Research
  Enter the Characters from the right of textbox        To refresh image, Please refresh the browser

 Confirmation and Consent

I confirm that I have freely agreed to share my personal details. I understand that the material is protected by a code of professional ethics.

Please tick one of the following boxes to let us know whether we can share the following details with other participants

        I do not agree to share my date of birth

       I do not agree to share my address details