KTG-Aufnahmeantrag - Kerntechnische Gesellschaft e.V.

Name *

First

Last

Address (street & house number) *

Address (postcode) *

Address (city) *

Address (country) *

Your email address *

Academic title

Birthday *

Telephone number *

Company/function

I apply for membership of the Kerntechnische Gesellschaft e. V. (KTG) as: *

(For membership fees see membership fee regulations, for admission requirements see statutes)

Status: *

**) Please enclose proof

Specialist group/s: *

(Please tick a maximum of two)

I hereby authorise *

the Kerntechnische Gesellschaft e.V. (KTG) to debit the fee from my account by direct debit until further notice. In the event of a failed direct debit due to incorrect account details or insufficient funds, I will be charged the fees incurred.

Bank *

Account holder *

IBAN *

BIC *

Official member magazine of the Nuclear Society (KTG) *

Reference

I *

I agree that my birthday may be published in the "KTG Inside" section of the "atw - International Journal for Nuclear Power".
I do NOT agree to my birthday being published in the "KTG Inside" section of the "atw - International Journal for Nuclear Power".

I *

I hereby declare that I consent to my data provided here being used exclusively for member communication and for the provision of industry-related information. In accordance with §15 GDPR and §17 GDPR, I can exercise my right to information and my right to data erasure at any time.

KTG application for admission