Registration form Malmö Cancer Center, Research Retreat

Registration form Malmö Cancer Center Retreat September 6-7 2012 Name:

Research group:

"Kostnadsställe och aktivitet”:

Supervisors (PI)´s name:

PhD/MD:

Student: Yes

Male: Yes

Female: Yes

Yes

Bus transportation from Malmö and back: Yes

No

Yes

No

Participate both days:

Participate September 6th: Yes

Participate September 7th: Yes

Accommodation required: Yes

No

Yes

No

Abstract:

Name of preferred room mates:

Special food: