Bernd-Uwe Jahn

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* 1. Please complete your details below if you would like to attend Bernd-Uwe Jahn's funeral. This will help us plan attendance, and allow us to contact you, where necessary.

First name

Surname

E-mail address

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* 2. Full name of spouse or guest, if accompanying you:

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* 3. Please indicate below whether you would like to travel to the funeral and back on the EMBL bus, which will leave EMBL HD around 07:00hrs and return around 20:00hrs. We will contact you separately, if you have ticked the relevant box below. Please note spaces are available on a first come first served basis.

Yes, I/we would like to travel to the funeral and back on the EMBL bus.

No, I/we will make my/our own travel arrangements.

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* 4. Please indicate the correct category for you below:

Current EMBL staff

Former EMBL staff

Other (please specify)