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Application form

 

Candidate

First name:

Last name:

E-mail:

Current affiliation:

Year of obtaining Ph.D. degree:

Name of your Nominator:

CV:
(PDF, max 10 MB)

Project description:
(PDF, max 4 A4 pages incl. figures, max 10 MB)

Terms & Conditions:
I am not employed by IOCB Prague or IChF-PAN and I have read and accept the Terms & Conditions of the contest.
Personal data processing:
I hereby give my consent to the processing of my personal data by the Institute of Organic Chemistry and Biochemistry of the Czech Academy of Sciences with its registered office on Flemingovo nám. 2, 166 10 Praha 6, Czech Republic (“Data Controller”), i.e. my name, my photograph (including processing of image by cropping and composition), audio/video recordings of my person and my few-sentence statement about my scientific dream project for the purpose of posting my personal data including my photo on the Data Controller’s publicly accessible website, the Dream Chemistry Award official website, Data Controller’s accounts on social networks and in the Press Releases related to Dream Chemistry Award contest 2023.

I am aware that I may withdraw my consent to personal data processing at any time, which does not affect the lawfulness of processing conducted before my withdrawal of consent.

I have acquainted myself with the information clause, including the information on the purpose and methods of personal data processing and the right of access to my personal data and the right to correct them.