This questionnaire is intended to keep our database up to date so that we can keep in contact with you



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Date / Place of birth







Sex

Male Female




Residential Address






Tel No.




Mobile No.




Email Address







Office Address





Tel No.




Fax No.




Mailing Address Preference

Office Address Residential Address







Field of Study




Area of Specialization:






Current Employment




Present Position





Year & Duration of Visit

     

German Institute/s visited

Host at the German Institute/s

































Duration of other visits to Germany

Programme

From To































Research Co-operations/Contacts with German Partners


Partner in Germany

Institution

Scope of Cooperation


















































Are you interested in receiving additional information from DFG? If yes, please specify:
 General Information on DFG Programmes  German Research Magazine
 DFG Annual Time Planner


I herewith give my consent to the DFG for storing my personal details for the purpose of carrying out follow-up contact work and keeping in contact with me as part of the alumni activities. The DFG will not pass on my details to any third parties.



Date / Place: ____________________________________ Signature: _______________________________


Please note that you are free to choose whether or not you wish to fill out and sign the above the above declaration of consent. If you choose to consent, all the details you provide in this questionnaire will be stored for the alumni activities of the DFG. You are also free to choose not to answer individual points of the alumni sheet. Choosing not to fill out the questionnaire or not to have yours details stored will be of no disadvantage to you.
Your details will be stored permanently, although you can choose to revoke your declaration of consent at any time without indicating reasons. This will result in all details relating to you being deleted immediately.
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