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First name |
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Surname |
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E-mail |
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E-mail (optional) |
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Affiliation: | |
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University/Institution |
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Department/Faculty |
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Institute |
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City |
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Postal code |
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| Country |
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Participation: | |
| Participation in the conference | (select for "yes") |
| I will give a talk | (select for "yes") |
| Title of the talk | |
I need a hard copy of the first announcement |
(select for "yes") |
| I need an invitation for a visa | (select for "yes") |
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| Full address for the correspondence |
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Accompanying persons: | |
The number of accompanying persons
I intend to come with |
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Accommodation: | |
I insist on staying in a single room
(at an extra cost of 75 EUR) | (select for "yes") |
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| I would like to share room with | |
| or | |
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| Remarks |
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*
I hereby agree for my personal data, included in this registration form, to be processed in line with the needs of
the conference. After the conference the data will be used to produce the report from the conference and for the purposes of the next edition of the conference.
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