Application form

Your name*

Name of affiliation*

Address*

Phone*

Your email address*

1st choice of host center
AllUniversity of Erlangen-Nuremberg, Department of Internal Medicine 3, Erlangen, GermanyInstitute of Infection, Immunity and Inflammation, Glasgow, UKLeeds Institute of Rheumatic and Musculoskeletal Medicine Leeds, UKDepartment of Development and Regeneration, University of Leuven, BEUniversità Cattolica del Sacro Cuore, Rome, ItalyUniversity of Copenhagen, Department of Clinical Medicine, Copenhagen, DK

2nd choice of host center
AllUniversity of Erlangen-Nuremberg, Department of Internal Medicine 3, Erlangen, GermanyInstitute of Infection, Immunity and Inflammation, Glasgow, UKLeeds Institute of Rheumatic and Musculoskeletal Medicine Leeds, UKDepartment of Development and Regeneration, University of LeuvenUniversità Cattolica del Sacro Cuore, Rome, ItalyUniversity of Copenhagen, Department of Clinical Medicine, Copenhagen, DK

3rd choice of host center
AllUniversity of Erlangen-Nuremberg, Department of Internal Medicine 3, Erlangen, GermanyInstitute of Infection, Immunity and Inflammation, Glasgow, UKLeeds Institute of Rheumatic and Musculoskeletal Medicine Leeds, UKDepartment of Development and Regeneration, University of LeuvenUniversità Cattolica del Sacro Cuore, Rome, ItalyUniversity of Copenhagen, Department of Clinical Medicine, Copenhagen, DK

Notice concerning your choice of host center

Project title

Project summary

Aim of the project

Planned experiments and methods

Expected results

Novelty and impact for the field

Scientific background of the applicant

Short curriculum vitae including previous publications (if present)

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