The application form icon

The application form




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Дата04.08.2012
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THE APPLICATION FORM
for participating in the 2d International scientific and practical conference
“MODERN RESOURCE-SAVING TECHNOLOGIES. PROBLEMS AND PROSPECTS”
1st – 5th October, 2012,
Ukraine, Odessa, 24/26, Frantsuzkiy Boulevard,
Odessa I.I.Mechnikov National University


You must send the application form by the 15th of July, 2012


Name





Date of birth





Scientific degree, academic rank





Position





^ Adress (street, building, city, country, post code)




Telephone





E-mail





Title of presentation





Section





Form of presentation (oral, poster)




Necessary technical equipment for presentation





Accomodation (specify a hotel, number and type of room)





Form of participation (full-time, absentee)





Form of payment (non-cash payment, cash payment)




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