Registration Survival Analysis for Junior Researchers (SAfJR) 2026

First name *

Last name *

Address *

Number *

Addition

Zip code *

City *

Country *

Email *

Institute

Conference fee *

Early Bird € 285 (only valid until 31 January)

Late Bird € 350

Conference Dinner

Thursday evening at Grand Hotel Amrâth *

Yes € 65

Total amount in euro's

Dietary requirements

By sending this form you approve to process the above mentioned data.
Do you also give us consent to mention your name, affiliation and e-mail address in the conference program?

Read our privacy statement
*

Yes

* = Input is required