Registration form institution Name icon

Registration form institution Name




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НазваRegistration form institution Name
Дата03.09.2013
Розмір14.47 Kb.
ТипRegistration form

SOUTH-EASTERN EUROPIAN COLLEGIATE PROGRAMMING CONTEST

UKRAINIAN SITE



TEAM REGISTRATION FORM



Institution Name:
Long:

Short:
Division: (I-offers advanced degree in computer science, II-does not offer advanced degree in computer science)
Oficcial Mail (with ZIP code) & E-mail Addresses:

Country:
Team Name:

Coach (Faculty Advisor)
First Name: Last Name: ___ Goes by:
Position: Email:
Office address:

Phone: Office: Home: Mobile:
FAX: ACM #: Shirt Size:



Cintestant 1
First Name: Middle Name: Goes by
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of study Expected graduation:

ACM# T-Shirt Size


Cintestant 2
First Name: Middle Name: Goes by
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of study Expected graduation:

ACM# T-Shirt Size


Cintestant 3
First Name: Middle Name: Goes by
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of study Expected graduation:

ACM# T-Shirt Size


Reserve
First Name: Middle Name: Goes by
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of study Expected graduation:

ACM# T-Shirt Size



Arrival date Hotel reservation Long: Number of nights Long:

I certify that the contestants satisfy the eligibility requirements specified in the Contest Rules.

Faculty Advisor Signature

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