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Anmeldung_REFERENT_ENGLISCH

SPEAKER APPLICATION

Speaker Application Form — PASSIVE SAFETY 2019 —

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Name
Your application as speaker for the next conference or symposium

PASSIVE SAFETY (Berlin, 9. - 10. May 2019)

TSI and INTEROPERABILITY (Berlin, 25. - 26. June 2019)

RAIL-HVAC (Berlin, 26. - 27. September 2019)

DIGITAL-RAIL (Munich, 24. -25. October 2019)

RAIL-EFFICIENCY (Berlin, 14. - 15. November 2019)

RAILWAY-INFRASTRUCTURE (11. - 12. December 2019)

Other (please specify)

CONFERENCE

Title of your presentation

Subheading

Table of contents
1. ... 2. ... 3. ...

SUMMARY
... Keywords # ...

CONTACT DETAILS of SPEAKER

Salutation

Title / degree

SURNAME

First name

E-MAIL

Telephone number

Company / Organisation

Department

Postal address

City - ZIP-Code

SPEAKER introduction

Education / studies / further training

Fields of study & college / university

Current Position / Function in company (Area of responsibility or department)

Degree (year)

Career steps / referential projects / relevant experience (corresponding to topic of conference)

Topics of relevant research papers (dissertation, diploma thesis etc.)

Other keywords for intoduction at conference (e.g. indications towards current research projects etc.)

Additional Information

Co-SPEAKER or Co-AUTHOR(s)?

ONE speaker on stage

MULTIPLE speakers on stage

ONE speaker (multiple authors)

Others - please specify

Presentation or atricle?

The lecture will be presented for the FIRST TIME.

The lecture was already presented (during another conference)

The lecture / article was already published

Others - please specify

OTHERS / notifications

Questions or notifications
Questions? ... Notifications? ... Others? ...

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