[Translate to englisch:] Bewerbung PSE Award

Application form for a QUEST Award

^{Fields marked with * are compulsory}

Academic title

Surname *

First name *

Gender

E-Mail *

Specification of your qualification *

Which award do you want to apply for? *

Patient & Stakeholder Engagement Award

Open Data Reuse Award

Preregistration Award

NULL Results Award

Replication Study Award

Open Data Contributor Award

Please upload your publication here (pdf, max. 15 MB) *

Select file

No file selected

Selected files:

Short statement/explanation why your publication should be awarded *

Institution *

Berlin Institute of Health

Charité - Universitätsmedizin Berlin

Institute/Clinic/Unit *

Institute/Clinic/Unit - please specify if not in selection list

Name of your team/research group leader *

Team/research group leader - please specify if not in selection list

Data protection declaration for the use of QUEST services *

I hereby confirm that I have read the privacy policy.

Don't fill this field!

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