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EIT URBAN MOBILITY 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.
I agree with the privacy policy Required EIT Urban Mobility will process your personal data to manage your registration on Plaza and to send you its Newsletter and occasional e-mails which may include invites to events, seminars, etc. You may exercise your data protection rights at info@eiturbanmobility.eu. For more information visit our Privacy Policy.

EIT URBAN MOBILITY PLAZA REGISTRATION

FILL IN THE PERSONAL AND CONTACT DATA
First Name Required
Last 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 URBAN MOBILITY PLAZA REGISTRATION

ANSWER THE ADDITIONAL QUESTIONS

Functional roleRequired






Please, indicate the functional role you are representing for your organization within EIT Urban Mobility. 
NB: Inform your institution's PLAZA SPOC to assign the requested role to you. Once you receive the login details, you are able to check who is the PLAZA SPOC for EIT Urban Mobility in your organisation in the Plaza-Partner Information Form.

Why do you want to become a Plaza member? (e.g. Submit a new proposal, my Organisation is involved in a specific project, etc.)Please explain briefly why you want to become a Plaza member.

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Email Address
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