SIKS Course: “Social Artificial Intelligence” 16-17 February 2023 Please enter your personal information Name * Organization Email I am * a fully registered SIKS-PhD student, take option 1 and I pay no fee a fully registered SIKS-PhD student, take option 2 and I pay no fee a SIKS-research fellow/ass. member, take option 1 and I pay EURO 350 a SIKS-research fellow/ass. member, take option 2 and I pay EURO 200 a PhD student of ASCI, OzsL, IPA or JF Schouten Intitute, take option 2 and I pay EURO 500 an academic participant, take option 2 and I pay EURO 750 a non-academic participant, take option 2 and I pay EURO 1000 a NeFCA PhD student, take option 2 and pay €200 Dietary needs Remarks Non-SIKS PhD students are required to obtain permission from their supervisor prior to registering. Please also fill in the fields below Supervisor Supervisor email Supervisor phone All participants except SIKS-members, please fill in the fields below Billing address Phone number Reference to be printed on invoice I give permission to SIKS to keep my data for a maximum of 5 years after the course * If you are human, leave this field blank. Submit