Registration form for Electron Crystallography School – Introduction to electron diffraction tomography 07.4.2014 – 11.04.2014, Darmstadt, Germany Personal information First name:_____________________________________________________________________ Last name:_____________________________________________________________________ Date of birth:___________________________________________________________________ Affiliation: Institution:_____________________________________________________________________ Postal address: Street, house nr.:____________________________________________________ City:______________________________________________________________ Postal code:________________________________________________________ Country:___________________________________________________________ Email:_____________________________________________________________ Current position: Master/bachelor student PhD student Postdoc Physics Biology Medium Deep level Scientific background: Chemistry Crystallographic knowledge: Elementary Research topic: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Please fill in this form and send to us by: email: kolb@geo.tu-darmstadt.de or fax: 0049 6151 16 4021