Registration form IІ international conference icon

Registration form IІ international conference




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НазваRegistration form IІ international conference
Дата12.08.2012
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REGISTRATION FORM

IІ International conference

«Drosophila in the Experimental Genetics and Biology»

( Odessa 2010, September 6–10)



1.

Name and surname




2.

Date of birth




3.

Student, Ph.D. Student or Scientist




4.

Institution, department




5.

Institutional address (incl. ZIP code)




6.

Phone number (work, home or mobile), fax




7.

e-mail (necessary) and mailing address (incl. ZIP code)




8.

Title of the talk (poster)




9.

Names of all the authors, presenting author is underlined




10.

Poster or oral talk




11.

Requirements for accommodation (yes/no)




12.

Requirements of the personal invitation (sent on e-mail )




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