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WASSER BERLIN INTERNTATIONAL 2013

Young Water Professionals Programme


April 22 27, 2013
Applicants Questionnaire
Please complete in capital letters!
Family name: ....................................... Prename/first name: ...................................................
Street: ................................................... City Code: ................... City: ....................................
Country: ............................................... Tel./Fax: .....................................................................
E-Mail: ................................................. Male/Female: ............................................................
Date of Birth: ........................................ Nationality: ...............................................................
University: .
Semester ............................................... Name of Professor:.....................................
Company/Institution:
Language/s: ...............................................................................................................................
Speaking English fluently is an absolute must and a precondition to participate in the
programme! Applicants must be able to understand and speak English terminology.
I know that in case that my application is accepted I have to pay and arrange for my
individual travel to Berlin/Germany and from Berlin back home. The programme covers
seminar fee, bus transfers, technical excursions, social events and accommodation in double
rooms. Personal spendings, such as telephone, beverages, etc. have to be borne by the
applicants. No insurance is included.
Programme details in time schedule.
Place, date: ..............................................................
Signature: ................................................................
Please send to:
Deutsche Vereinigung fr Wasserwirtschaft, Abwasser und Abfall (DWA) e.V.
German Association for Water, Wastewater and Waste (DWA) e.V.
Theodor-Heuss-Allee 17
D-53773 Hennef
Fax 00-49-2242-872-135
E-Mail: langel@dwa.de

DBU AZ

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