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Registration form for membership in TU Clausthal alumni

Registration form

Personal Details

Title

Academic Title

Last Name*

Birth Name

First Name*

Date of Birth*

Nationality

Contact Details

Street/Address*

City*

Postcode*

Country*

Telephone

Email*

Business

Employer/Company

Department/Branch

Street/Address

City

Postcode

Telephone (business)

Email (business)

Homepage

Job Title/Current Position

Field of Activity

Details on the time spent at TU Clausthal

At TU Clausthal, I

studied

did my doctorate

taught

worked

Study Period/First Degree

Time Period (from/to)*

Course of Study*

Focus on

Degree

Institute/Department

Study Period/Second Degree

Time Period (from/to)

Course of Study

Focus on

Degree

Institute/Department

Working Period

Time Period (from/to)

Institute/Department

Position

Submit

Declaration of Consent*

I give my permission for my data to be stored on the TU Clausthal alumni database and used for alumni network purposes and that my data may be passed on to other alumni networks of the Institutes/Departments within the TU Clausthal.

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Alumnimanagement

Registration form for membership in TU Clausthal alumni

Registration form