Registration Form Of IV INTERNATIONAL CONFERENCE OF DENTAL STUDENTS AND YOUNG SCIENTISTS
"Actual problems of modern dentistry"
Uzhgorod National University
Faculty of Dentistry
Uzhgorod, University st., 16a
February 27-28, 2015
Surname _________________________________________________________
Name ______________________________________________________________
Title (year, specialty, place of work)_____________________________
City, Country ______________________________________________________
Modes of participation ___________________________________________
Full name, position and degree of supervisor _____________________
The name of company (organization)_________________________________________
Topic ______________________________________________________
The language of report (English \ Ukrainian)_________________________________
Сo-author_______________________________________________________
Phone _______________________________________________
е – mail ___________________________________________________________
Necessity of multimedia support (projector)___________________
Reservation in the hotel __________________________________________
Registration form, thesis papers and electronic copies of payment receipt must be sent to stomatsnt@gmail.com until 7 February 2015.
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