The application form

Назва	The application form
Дата	04.08.2012
Розмір	9.99 Kb.
Тип	Документи

Зміст

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

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

You must send the application form by the 15^th 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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