Application for participation in the conference surname
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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 |
