Full Name * : | |
Scientific degree and title * : | |
Place of work and job position * : | |
Organization * : | |
Correspondence address: | |
Tel: | |
Fax: | |
E-mail * : | |
Topic: | |
Author/s/: | |
Participation with: |
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Accommodation: | |
Dates: | |
Single/Double room: |
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Massage to the organization: | |
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