Registration

Alumni-Database

Survey

Form: Registration

Salutation*

Title

Name*

First name*

Birth name

Address

Street*

Number*

Postal code*

City*

Country*

Personal data

Nationality*

Date of birth*

Private email*

I attended Jena University

from*

until*

as*

student
employee

(Aspired) academic degree*

My subject(s) / workplace was/were*

Data Protection

Friedrich Schiller University Jena processes your personal data for the following purpose [registration in the university’s alumni database (JenAlumni)].

If you have any questions regarding data protection, please contact datenschutz@uni-jena.de.

Please note our privacy policy [JenAlumni]. de

Please note our privacy policy.

Explanatory notes

*The fields marked with an asterisk are mandatory.