University Name and City (If it is from different universities, only the team name is sufficient.)

Team Name (A short and symbolic name is suggested.)

Team Email Address

Team Leader Name

Update Team Logo (File must be .png form and size 591x591 px, max:2MB size)

Update Team Video (About team and why do you choose Radichal and this disease. Your video must be this formats, .m4a, .mp4, .avi,max:20MB size )

Team Member 1:

Name - Surname

Email

Phone Number

University - Education Status

Team Member 2:

Name - Surname

Email

Phone Number

University - Education Status

Team Member 3:

Name - Surname

Email

Phone Number

University - Education Status

Team Member 4:

Name - Surname

Email

Phone Number

University - Education Status

Team Member 5:

Name - Surname

Email

Phone Number

University - Education Status

Shipping address of the competition team

Select Target Disease (For which of the MS, LGMD and WU diseases it is desired to participate in the Genetic treatment contest. This selection cannot be changed.)
DMDBeta TalasemiHuntington

Select RaDiChal Type
RaDiChal Academia (RA)RaDiChal Adventure (RA+)

We Accept the Terms and Conditions

We have read the KVKK text and accept it