Degree and position (BSc, MSc, PhD student, young scientist)

REGISTRATION FORM

1.	Name and surname
2.	Date of birth
3.	Degree and position (BSc, MSc, PhD student, young scientist)
4.	Affiliation (institution, department)
5.	Institutional address (incl. ZIP code)
6.	Phone number (work, home or mobile), fax
7.	e-mail
8.	Title of the talk (poster)
9.	Names of all the authors, dates of birth (presenting author is underlined)
10.	Supervisor or academic advisor: name, scientific degree, position
11.	Poster or oral talk
12.	Section
13.	Mailing address (incl. ZIP code)
14.	Requirements for accommodation (yes/no)
15.	Is personal invitation required (yes/no)? Way of delivery (e-mail or postal mail)

Дата добавления: 2015-11-04