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You finished your studies, your scientific or professional activities in Heidelberg and want to stay in touch with
Heidelberg University? There is a simple way to do so: Register for free at Heidelberg Alumni International – the
world wide network of Heidelberg Alumni: https://alumniportal-heidelberg.de
Or register right away and for free with this form:
Last Name:
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First Name:
_______________________________
Academic Title:
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Maiden Name: _______________________________
Nationality:
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Date of Birth: _______________________________
Address
Street, Number:
_______________________________________________________________________________
City:
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Country:
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Telephone:
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Zip / Postal Code: ___________________________
E-Mail:
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till:
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Academic studies at Heidelberg University
from:
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Subject / Department:
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Degree (M.A. / Dipl. / etc.):
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Grants:
DAAD
AvH
Other:
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Professional activities in Heidelberg
Type of position:
from:
Scientist / Lecturer
Administration
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till:
Other: ___________________________
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Department / Institution / Host: ____________________________________________________________________
I am interested in the Research-Alumni Network (only international visiting scholars)
I request an Alumni e-mail address (first name.last [email protected])
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International) and by Ruprecht-Karls-University of Heidelberg and any other applicable internal groups within the
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entries may be checked for accuracy, particularly entries concerning academic accomplishments at Ruprecht-KarlsUniversity of Heidelberg. No information entries of any other user may be used or given to a third party without their
consent, nor used in any way that is not expressly permitted by Heidelberg Alumni International. Your consent to these
regulations is requisite for registration Heidelberg Alumni International.
Date / Signature: _______________________________________________________________________________
Universität Heidelberg
Heidelberg Alumni International
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www.alumni.uni-heidelberg.de