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1. Contact details
Participant

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2. Role during TCA

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3. Organisation details

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4. Motivation
Please give a short summary of your professional background, interests and present role in your organization.

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5. What benefits do you hope to obtain from participating in this activity at a professional level?

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6. What benefits do you hope to obtain from participating in this activity at the level of your institution and higher (e.g. systems level)?

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7. Familiarity with Erasmus+
How would you rate your overall level of familiarity with Erasmus+? (1 very familiar - 5 not at all familiar)

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8. Have you or your organisation already participated in an Erasmus+ project?

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9. Project abstract
Networking activities during this event will include opportunities for finding relevant partners. If you already have an idea for a future Erasmus+ project (KA1 Mobility or KA2 Strategic Partnership), please briefly describe it here. Give clear indications about objectives, themes, etc.

This information will be shared with other participants and could help you to find project partners with similar interests. You will of course be free to develop other project ideas during the seminar.

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10. Practical arrangements
Please specify if you will take part in the dinner of:

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11. Do you have any special dietary requirements?

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12. Will you take part in the guided tour of Luxembourg City on 28th November?

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13. Do you agree that your email address will be included in the participants list handed out to the other participants?

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14. Do you agree that Anefore will use the photos and / or videos on which you may appear and which have been taken / recorded as part of the event?

Information on personal data protection.

The data you provide in this registration form will be used by the National Agency of Luxembourg for organisational purposes linked to this seminar.

The following information will be forwarded to the hotel:
- first/last name
- country
- address (if provided)
- ID card number (if provided)
- food preferences/allergies

The following information will be forwarded to the restaurant:
- first/last name
- food preferences/allergies

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