First name | * |
Surname | * |
Place of work or study | * |
Position | * |
Scientific grade | * |
Post address | * |
Phone no. | |
Fax no. | |
E-mail | * |
Have you got a lecture? | * |
Date of arrival | . . : |
Date of departure | . . : |
Do you need a hotel? | * |
The form of presentation | * |
Тitle of the presentation | |
Abstract | |
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Password: | * |
Once again: | * |
Please note password will be kept and sent via HTTP and/or e-mail without encryption! |
Allow to process my personal data |
Spam protection | |
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