Alumnifiche
The mandatory fields are marked with a star(*).
Family name *
Given Name *
Address: street - house.flat number *
Postal code - city *
Phone
Mobile
Email address *
Email address (professional)
Employment: Institution.Company - Location
Sector *
indicate
University
Hospital
Scientific institution
Clinical research organisation
Biopharmaceutical company
Education
Public sector and non-governemental organisations
Looking for a job
Other
Function
Function group *
indicate
Student
PhD student
Junior scientist
Senior scientist
Junior manager
Senior manager
Clinical Research Professional
Teacher
Docent
Professor
Looking for a job
Other
PhD - University - Year
Teaching certificate - Institute - Year
Other degrees or certificates
Remarks-suggestions
Submit
Ambiant ,
ambiant@uantwerpen.be
collects these personal data for the alumnifiche. Under no circumstances will these details be given to third parties. Should you wish to review, limit, amend or have data deleted, kindly contact us at the aforementioned address. More information about our privacy policy:
www.uantwerpen.be/disclaimer
.