DPG Phi
SurfaceScience 2021
SurfaceScience 2021
DPG

WEH Communication Programme

SurfaceScience 2021

Please fill out the form to participate at the WEH Communication Programme for the DPG conference SurfaceScience 2021. The deadline to apply for a subsidy is 05 Feb 2021. Use this form for the selected DPG conference only. For EPS-, IUPAP- and large conferences a PDF form is available on the DPG webpage.

The form allows you to use the german umlauts ä, ö, ü, Ä, Ö, Ü, and ß. If you cannot type german umlauts you may use these symbols for copy and paste.

Participant information

Form of Address*:

First name (25 characters at most)*:

Surname (40 characters at most)*:

Academic title*:


Contact information

State a privat or institute address below; please avoid mixed information.

Institute (c/o 1; 50 characters at most):

Institute (c/o 2; 40 characters at most):

Street (40 characters at most):

ZIP code (11 characters at most):

City (40 characters at most)*:

Country*:

Email*:

Phone (20 characters at most):

Birthday (dd.mm.yyyy)*:

DPG membership id*:

The WEH program is available for DPG members only. Grants are restriced to students and PhD students (the conference date counts). For a recent applied membership please state "000000" for the membership id.


Information on conference participation

Only one of the authors per contribution is allowed to apply for the WEH program.

Serial number of the talk/poster like "X 123" (see submission confirmation email)*:

Title of the submission*:


Account information for travel grants

The grant can only be transfered to SEPA-enabled accounts within the EU. If you do not have a SEPA- enabled account, please contact us by e-mail (weh@dpg-physik.de).

Account holder (empty for being identical to above):

IBAN*:

BIC*:

Reason for payment (if needed, max. 52 Zeichen):


Statement

In case a different institution grants an additional reimbursement I affirm to inform that institution about the founding by the DPG.

Contact/Imprint
DPG-Physik > DPG Conferences > SurfaceScience21 > Forms