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Registration form ITN 2012
Title: (*)
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First name: (*)
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Last name: (*)
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Institution: (*)
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E-mail: (*)
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Degree: (*)
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Please select if you want to give a seminar (the seminars will be around 10-15min)
Talk: (*)
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Talk title
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Abstract
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Please select the way of payment
Registration fee payment: (*)
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Special diet requirements: (*)
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Do you want to apply for financial support?
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If you have any further comments you can put them here
Comments:
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ACCOMODATION information
Gender: (*)
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Please specify here if you have preferences for sharing the room with somebody, or other requests. Note that the rooms have been booked from the 26th of August, please also indicate if your arrival date is different and/or if you need to book the room for more nights.
Comments
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Single room (extra-cost):
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