Anmeldung

Mandatory fields are marked with an asterisk (*).

Title *

First name *

Last name *

Email address *

Status *

student

employee

Fachbereich *

veterinary medicine

other department

Hochschule *

Freie Universität Berlin

other university/ scientific institution

Username of FU-account

For FU-members only. The user name of the FU-account will be needed for the logins in the PC-pools.

Billing Address

University *

Street and house number *

Postal code *

City *

Registration *

I hereby confirm the correctness of my specifications and bindingly register for the specified course.

Statement *

I hereby confirm that my data submitted are electronically stored and processed exclusively for the internal organization of fu:stat's work.

Captcha *

Captcha prevents spam bots from misusing this form. Please enter the code displayed.

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