Registration form

New registration

Fields marked with * are mandatory. Please note that information will be counter-checked and, if imprecise, corrected by the Max Planck Society.

Personal data

Title*

First name*

Surname*

Email*

Confirm Email*

Date of Birth* (MM/DD/YYYY)

Place of birth - Country (hidden)

Place of birth - City (hidden)

Place of birth* (City, Country)

Street Address

City

State

Zip Code

Country

Address

Street name Nr, City, Country*

Street Address

City

State

Zip Code

Country

Street, Nr.* (hidden)

City

Country

Postal Code* (hidden)

State/Province (hidden)

Phone

Mobile

MPS Affiliation

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

Current/Former Max Planck Institute*

Type of affiliation*

Beginning of affiliation*

Beginning of affiliation (year)

End of affiliation*

End of affiliation (year)

I am working at this institute

I am working at this institute

I want to be able to vote for

Job Affiliation

Job Title

Institution/Company

Job City (hidden)

Job Country (hidden)

City, Country

Street Address

City

State

Zip Code

Country

Media Channels

Facebook

Twitter

LinkedIn

Xing

How did you find us?

How did you find us?

Privacy Policy

Public Information

I agree that my name, surname and any links to my media channel accounts will be visible to other members of the association.

Privacy Policy

I have read and agree to the privacy policy statement. I certify that the personal information provided is correct. I authorize the Max Planck Alumni Association to check the correctness of the information on my affiliation with the Max Planck Society at any time and to correct it if imprecise. *

Contact person

Birgit Adam

Administrative Headquarters of the Max Planck Society

Department of Communications
Max Planck Alumni, maxNet and Intranet 2.0

Phone: +49 (0)30 49905646
Email: birgit.adam@gv.mpg.de