Berlin - Registration

Berlin Registration

Name:

First

Last

Email:

Affiliation/Organization:

Field of Interest/Work/Research:

Country of Residence

Do you require the organizer’s support to obtain a Schengen Visa?

Yes

Organisers can provide letters of invitation, but do not guarantee the issue of the visa

Please explain your interest in participating at SplinterCon – Berlin

By checking this box, you agree to have your application and personal details processed by eQualitie and the Program Selection Committee.

By checking this box you agree to receive event related announcements and materials via e-mail

Do you require travel support to attend SplinterCon in Berlin?

Yes

Please detail the type of support required and reason for requesting

Note: support is limited and prioritized for speakers and participants coming from economically disadvantaged circumstance

If you are human, leave this field blank.