REGISTRATION FORM - Manutech-SLEIGHT Certificate

LAST NAME (*)

First Name (*)

E-mail address (*)

Master's track (*) Select into the list Master OIVM - iPSRS Master OIVM - RADMEP Master OIVM - COSI Master OIVM - IMLEX Master OIVM - PE Master OIVM - AIMA Master CS - MLDM Master CS - DSC Master Health Engineering - BME

Master 1 or Master 2 student? (*) Select into the list Master 1 Master 2

Manutech-SLEIGHT scholarship holder? (*) Select into the list YES NO

Did you already attend a SLEIGHT Science Event? (*) Select into the list YES NO

If YES, which one? SSE#13 (January 2025)
SSE#14 (July 2025)
SSE#15 (January 2026)

Already an idea of the activity you would like to propose? Please tick the box(es): Present an oral paper, poster or pitch at an SSE
Author a paper accepted in a peer-reviewed journal or a paper accepted by the programme committee of an international scientific conference.
Contribute to scientific mediation through an activity that can be posted on the Graduate School website
Be an active member (member of the board, organiser of an activity) of the OPTICA Student Chapter of the Manutech-SLEIGHT student association
Any other activity proposed by the student to the Graduate School’s Educational Committee leader and validated by the Graduate School

If you would like to propose any other activity, please specify:

Input validation (*)
listen to the word to enter