Home

EIT FOOD PLAZA REGISTRATION

FILL IN THE EMAIL ADDRESS OF THE PERSON YOU WANT TO REGISTER

Email Address Required

The email address should match with your organization official domain. You cannot register with a private email address.

EIT FOOD PLAZA REGISTRATION

FILL IN THE PERSONAL AND CONTACT DATA
Last Name Required
First Name Required
Initials Required
Prefix (van der, de , le , la)
Titles
Suffix (Msc, Bacc, PhD)
Gender Required
select
Organization Required
Department
Your Job Title Required
Email Address Required
Phone number (+31 123456789) Required
Cell Phone (+31 123456789) Required
Post Address Required
Postal Code Required
City Required
Country Required
select
My Visit Address is the same as my Post Address
Visit Address Required
Postal Code Required
City Required
Country Required
select

EIT FOOD PLAZA REGISTRATION

CONFIRM THIS REGISTRATION TO PROCESS THE DATA

Why do you want to become a EIT Food Intranet MemberRequiredPlease explain why we should accept you as a EIT Food Intranet Member

Partner ReferenceRequiredPlease enter the name of the partner you are related to. This should match with the email address you have provided. If you want to become a member by invitation please enter the contact details of the responsible person at one of our partners. Include name and email address. So we are able to contact this person for clearance.

Remarks

Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Email Address
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required
Required