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Registration form for research internship

"*" indicates required fields

1Personal info
2Contents of the internship
3Budget
4Complete
5Send

Applications for internships abroad can be submitted by Faculty of Medical Sciences/UMCG students only.

Name*
E-mail address*
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Max. file size: 64 MB, Max. files: 1.

    Budget

    A sound budget for the internship that itemizes all costs and income, including the present De Cock-Hadders Foundation fund application
    MM slash DD slash YYYY
    Drop files here or
    Max. file size: 64 MB, Max. files: 1.
      MM slash DD slash YYYY
      Drop files here or
      Max. file size: 64 MB, Max. files: 1.

        * As an alternative to a digital signature from your supervisor, please include a copy of the letter signed by your supervisor, in which they state that they have read your application and have approved the content. This copy can be uploaded to the above box.
        Terms and conditions*

        Submitting your request is final. Uploading may take a while, so please be patient.

        This field is for validation purposes and should be left unchanged.

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