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Inter-Academia 2015 Registration - Participant information
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* Indicates required question
Type of participation
*
Participant
Student
Prefered presentation type
*
Please choose which type of presentation do you prefer
Oral presentation
Poster presentation
Oral or poster presentation
No presentation
Name
*
Your answer
Surname
*
Your answer
Title
*
Prof.
Dr.
PhD
PhD student
Student
Mr.
Ms.
Other:
Affiliation
*
The name of the institution
Your answer
Country
*
Your answer
Address
*
The address will be used to deliver proceedings
Your answer
Phone
*
Your answer
Fax
Your answer
E-mail
Your answer
2+0+1+5=?
*
Your answer
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