Title

First Name *

Last Name *

Address *

Postal code *

City *

E-Mail *

Phone *

Website

Indicate with a few words, why your thesis should be honored with the CHGEOL Award *

Type *
PhD thesisMasters thesisBachelor thesis

Title *

Author *

Co-authors *

University that accepted the thesis *

Thesis accepted by *

Declaration *
By submitting this form, I assure that all information given above are correct and I accept, that the information can be published on www.chgeol.org and in publications of CHGEOL.