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APPLICATION FOR PARTICIPATION IN THE CONFERENCE Surname __________________________________________________________ First name________________________________________________________ Father name________________________________________________________ Position (for students – institute/faculty, course)_________________________ Name of institution / educational institution____________________________ Degree ____________________________________________________________ Title __________________________________________________________ Telephone, E-mail: ___________________________________________________ Home Address ____________________________________________________ Research adviser (name, academic degree, academic rank, position, educational institution (institution)_____________________________________________ Co-author ________________________________________________________ Theme reports ____________________________________________________ Section ____________________________________________________________ Signature Date |