EUROSFAIRE

1 - Participant Information

Legal name

* Dr Prof. Mr Ms

* Name * First name

* Email Office Phone Number

Institution

* Institute/University/Company

Department

* Country

2 - Participation

* I will attend the event myself No Yes

* If No, I would like to be represented by the:

NEST NCP from my country No Yes

Other participant * Name * First name

My field of interest (Please, refer to the preliminary programme)

* Check one box

Pathfinder initiatives:

Synthetic biology

What is means to be human

Measuring the impossible

NEST bottom up activities: ADVENTURE, INSIGHT, SUPPORT

I Don't Know, I would like to decide after the morning presentations

Tell us about your project idea

Preliminary title

Preliminary summary (100 characters)

Preliminary questions
(Please, insert only one question per box

Question 1:

Question 2: