Team registration form institution Name icon

Team registration form institution Name




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НазваTeam registration form institution Name
Дата14.09.2012
Розмір15.28 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: Middle Name: Last Name:
Position: Email:
Office address:

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



Cintestant 1
First Name: Middle Name: Last Name:
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of admission to University Area of study

Degree pursued Began degree Expected graduation:
ACM# T-Shirt Size Participation in ICPC semifinals , number


Cintestant 2
First Name: Middle Name: Last Name:
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of admission to University Area of study

Degree pursued Began degree Expected graduation:
ACM# T-Shirt Size Participation in ICPC semifinals , number


Cintestant 3
First Name: Middle Name: Last Name:
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of admission to University Area of study

Degree pursued Began degree Expected graduation:
ACM# T-Shirt Size Participation in ICPC semifinals , number

Reserve
First Name: Middle Name: Last Name:
Home address:

Home phone: Mobile: EMail:
Date of a birth Year of admission to University Area of study

Degree pursued Began degree Expected graduation:
ACM# T-Shirt Size Participation in ICPC semifinals , number


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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Team registration form institution Name iconRegistration form institution Name: Long: Short: Oficcial Mail & e-mail Addresses: Country

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Team registration form institution Name iconRegistration form

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