Eye lens dosemeter intercomparison IC2025eye
 

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 Registration 

On this page you can register your Monitoring Service for participation in the EURADOS Eye lens dosemeter intercomparison IC2025eye.

Monitoring Service

Monitoring Service Name: 
EURADOS Sponsor: 
Please specify, if you are a sponsor of EURADOS, which will give you a 10% discount on the intercomparison fee of the first system. This information will be verified by the EURADOS office. For more information please visit http://www.eurados.org/en/Sponsors/.
Previous Participation: 
Please specify, if you did take part in one or more EURADOS related intercomparisons in the past. If you did take part in more than one intercomparison, please use the 'Ctrl' key to select multiple values.

Monitoring Service / Address

Address (institution, department, ...): 
 
Street / PO-Box: 
ZIP Code, City:  
Country: 
This is the main address of the Monitoring Service, which will be used to send the irradiated dosemeters and the certificate. Please specify the complete address, including the name of your Monitoring Service, if necessary (it will not be added automatically!).

Monitoring Service / Invoice Data

Invoice Address (institution, department, ...): 
 
Street / PO-Box: 
ZIP Code, City:  
Country: 
This is the invoice address of the Monitoring Service, which will be used for the invoice only. Please specify the complete address, including the name of your Monitoring Service, if necessary (it will not be added automatically!).
VAT ID: 
If your Monitoring Service is located within the EU, you have to specify a valid VAT ID, otherwise EURADOS will have to add 7% VAT to the participation fee. If your Monitoring Service is located within the EU and has no VAT ID (and therefore will have to pay the VAT), please enter 'xxx' in the field. If your Monitoring Service is not located within the EU, you can leave this field empty.
Purchase Order Number: 
The purchase order number will be included in the invoice you will receive from EURADOS. You can add the purchase order number later.

Contact Person

Salutation, Title: 
Please specify a salutation and/or title (e.g. Mr., Mrs., Dr., ...).
Last Name: 
First Name: 
Email: 
This is the primary email address which will be used for all communication between the coordinator and the Monitoring Service. Please be aware, that this will include security critical information like reports and certificates. This email address will also be used as username and cannot be changed by you.
Email CC: 
You can specify another email address, where all emails from the coordinator will be delivered, too. Please be aware, that this will include security critical information like reports and certificates. This email address cannot be used as username to log in.
Phone Number: 
Please specify the phone number including the country code starting with '+'.
Password: 
Please choose a password with at least 8 characters. It is recommended to use a password which contains alphanumerical characters, numerical characters and special characters.
Password (Confirmation): 

Declaration of Consent

I consent to the information and contact details provided by myself being used by EURADOS, in order to contact me for communication purposes and address my query. This is especially applicable for the use of my email address and potentially my phone number. I know that I can revoke my consent to the collection, use and storage of my personal data at any time by sending my revocation to office@eurados.org. For any further issues regarding your personal data, see the Data Privacy Statement. 
 I agree to the above statement and to the Data Privacy Statement, which I have read.

Fields marked with  are required, fields marked with  are read-only and fields marked with   are optional.
en | de Contact: Olivier Van Hoey (ic2025eye@eurados-intercomparison.org) | Imprint | Data Privacy Statement