Data for HELENA-Certificate – Obligatory
Name*
Surname*
Member of International Helmholtz Research School*
Institute/Research Unit*
Date of birth (e.g. 01.01.1987)*
Place of birth (e.g. Munich, Germany)*
Private e-mail address to inform regarding your certificate*
Valid postal address to which we can send your Certificate after issueing*
Optional: Next career step
Academic Science Industry Clinics Scientific Administration Other Undetermined
Optional: Specify your next career step
Optional: Link for LinkedIn profile
Date of submission of doctoral thesis (e.g. 01.01.2017)*
Title of dissertation*
Personnel number (e.g. 991234)*
Doctoral degree*
Date of doctoral defense (e.g. 01.01.2017)*
No. of first author publications* 0 1 2 3 3+
Type of dissertation* (Please choose) monograph cumulative
DECLARATION OF CONSENT
I consent to the information and contact details provided by myself being used by the HELENA Graduate Student Office, in order to contact me for communication purposes and address my query. This is especially applicable for the use of my private personnel number, E-Mail address, date of birth, place of birth and postal address. I know that I can revoke my consent to the collection, use and storage of my personal data at any time by sending my revocation to
gso-spr(at)helmholtz-helena.de . For any queries regarding the use of my personal data on this website, please see the
DATA PROTECTION STATEMENT . For any further enquiries regarding your personal data, please contact our Data Protection Officer at:
datenschutz(at)helmholtz-muenchen.de