BioSB membership enrollment Please fill out the membership enrollment form below. You can read more about our membership model on the Membership Page. Membership enrollment form Name* First Last Email* Gender*MaleFemaleDepartment*Organisation*Address* Street Address Address Line 2 City ZIP / Postal Code Phone*I am applying as a*PhD studentOther researcher (non PhD)Starting date of your PhD Date Format: DD slash MM slash YYYY Expected end date of your PhD Date Format: DD slash MM slash YYYY Preferred starting date of your membership* Date Format: DD slash MM slash YYYY Please fill in the preferred starting date of your membership (the first of each quarter (Jan 1, April 1, July 1, Oct 1)). The duration of the membership is 2 years, see: Membership page Membership of other PhD/research schoolsPlease indicate if you are also member of other research schools (e.g. ASCI, ....)Supervisor information You supervisor/ has to agree with your membership, therefore please fill out the fields below. Name* First Last Organisation*Email* Letter of approval:*Accepted file types: pdf.Please upload a letter (PDF) of approval signed by your supervisorTitle of your research project*Please provide us with a short description of your current research project*What BioSB courses / topics / activities are you interested in?Payment information We will send you or your organisation an invoice (PDF) by e-mail to pay for the course. NB: please check with your organisation what invoice address we should use for the invoice!Use the address mentioned above for billingYesNoBilling address Please fill out the form below to provide us with the correct billing address. Name Email DepartmentOrganisationAddress Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country V.A.T. number (if applicable)Project code of your finance department (if needed)Please provide us with any comments and remarks about your membershipComments & remarksplease indicate here if you are coordinator of a BioSB courseFor our information Please tell us how, where, from whom, via what mail list or website you found us?I found the research school via:Application procedure Applicant (you) will receive a confirmation of receipt of this enrollment. Please note that only fully filled-out forms will be considered. After a positive review by the BioSB office a confirmation of your application will be sent to you by e-mail. An invoice will also be sent by e-mail which you are required to pay within 14 days.Please check here:* I have read and do agree with the above