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Heidelberg Alumni U.S. (HAUS)


Personal information:
Form of address:
Academic title:
First name*:
Last name*:
Maiden name:
Date of birth*:
Nationality*:

Address:
Type of address:
Address line 1:
Address line 2:
Address line 3:
Street, Number*:
Zip/Postal Code*:
City and Province/State*:
Country*:
Telephone:
 
Mobile phone:
 
E-mail*:

My link with Heidelberg University:




Academic studies/PhD studies at Universität Heidelberg:
(Please click here if you would like to enter the exact dates you matriculated and were exmatriculated.)
Matriculation:
Exmatriculation:
Matriculation/Student Number:
Degree:
Date that degree was awarded:
 
First subject*:
Faculty/Department (of 1st subject)*:
Second subject:
Third subject:

Scholarship/Fellowship
Did you receive a scholarship/fellowship to finance your studies at Heidelberg University?


Alumni Email

How did you learn about Heidelberg Alumni U.S. (HAUS)?
Informed by*:

System entries:
User name*:
Password*:
Confirm password*:
Prefered language*:

Comment:

Date protection declaration (translation only, please see German for legally binding statement)*:

Fields with * are required for registration.

 


  



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Responsible: Silke Rodenberg, Heidelberg Alumni International
17.11.2019