Registration retreat – OOA – Oncology Graduate School Amsterdam

Registration form

Registration form OOA retreat 2026

Name

First

Last

Email

Institute

Amsterdam UMC

NKI-AvL

Other

If other

Department

PI / Groupleader

Are you member of OOA?

Yes

No

I don't know

Start PhD project (day-month-year)

Expected date of PhD graduation (day-month-year)

Project title

Research field

Basic

Translational

Clinical

How many times did you join the retreat in Renesse?

Never

1 time

2 times

3 times or more

Did you join the retreat in Cobra 2022?

Yes

No

I will present a:

Poster (only first 1.5 years of PhD project)

Oral presentation

Tentative title poster/presentation

I will take a touring car on Wednesday:

From NKI-AvL

From WTC

I will travel on my own (travel costs will not be reimbursed)

I will take a touring car on Friday:

To NKI-AvL

To WTC

I will travel on my own (travel costs will not be reimbursed)

Special requests regarding meals

Preference room mate

Gender

Male

Female

Other

I hereby give permission to the OOA to use photos and videos in which I am recognizable for LinkedIn, the website, and future announcements.

Yes

No

Remarks

If you are human, leave this field blank.

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