Research stay

First name

*

Surname

*

Date of birth (DD.MM.YYYY)

*

Nationality

*

Gender

Female
Male

*

Address

*

Postal code

*

City/town

*

State/Province/Region

*

Country

*

Email

*

Phone

*

Address in Denmark

Postal code

City/town

My home university is

*

My host department at DTU will be

*

During the period from

*

until

*

Contact person at department

*

Updated on 21 February 2020

Updated on 21 February 2020