Formular Promotionsberatung

* Required

• Title
  --- Please select --- Mrs. Mr.
• First Name*
• Last Name*
• E-Mail*
• Phone*
• Address*
• Zip Code and City*
• Applicant*
  --- Please select --- Prof./PhD Research Assistant Student
• Topic of the Project*
• Insitute/clinic at which the project will be executed*
  --- Please select --- Anesthesia Anatomical Institute Surgery Dermatology Gynaecological Clinic GSF Haunersches Children's Hospital Cardiology ENT Institute for Occupational Medicine Institute for Biomechanics Institute for Surgery Research Institute for clinical Chemistry Institute for clinical Radiology KH Schwabing Pediatrics Cardiology Clinical Pharmacology Laser Research Lab Max v. Pettenkofer-Institute Medical Clinic 1 (GH) Medical Clinic 2 (GH) Medical Clinic 3 (GH) Medical Clinic (Inn.) MPI Neurobiology Neonatology Neurosurgery Neurology Neopathology Nuclear medicine Orthopedics Pathology Pharmacology/Toxicology (WBEX) TU Munich Urology Dentistry
• Name of the Project Lead
• Previous consultation by the IBE (for this project)*
  • No
  • Yes
• Year
• Consultant
• Short description of the project and questions: (no more than 10 lines)*
• Is the data already available?*
  --- Please select --- No Partially Yes
• Data format
• Which software will be used?
• I have read and agree with the terms and conditions:*
  • Yes

Statement:
If the consultation is cited in a paper (dissertation, publication, etc) ? including as a thank you -, the applicant is required to show the paper to the consultant before its publication, and must have written confirmation from the consultant citing his agreement to be cited. I give my consent to have the information given saved in a data system. The data is used for organizational and statistical purposes of the Institute. The data will not be transferred to a third party. .