Online Application for Poster Presentations

Institution Data

Institution

Department/unit

Street and Number

Postal Code

City

Federal State

Country

Homepage

Personal data

Address

Title

First Name

Surname

Job title / Position

Field of Work

Workplace

Official phone

Privat phone

E-mail

Information about your poster presentation

Suggested title

Brief information

Additional notes for the advisory board

Send Data

I have read and accept the information for the application for a poster presentation

I agree that my personal data will be stored by the DPT for the purpose of contacting me, processing my application and statistical analysis. The DPT will not sell, rent or lease your personal data to others. Please read our data protection declaration based on the DSGVO.

With the sending of the registration to the 28th German Prevention Congress / 16th Annual International Forum there will be an automatic copy of all data sent to your E-Mail adress (as entered above). If this is not the case, please check the above entered E-Mail adress.