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Formularz zgłoszeniowy
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* Indicates required question
Imię i Nazwisko / Name and Surname
*
Your answer
Stanowisko / Worksite
*
Pracownik naukowy / Scientific worker
Student / Doktorant / Student / Ph.D. Student
Other:
Instytucja / Institution
*
Your answer
Ulica / Street
*
Your answer
Kod pocztowy / Postal code
*
Your answer
Miejscowość / City, Country
*
Your answer
Numer NIP
Your answer
Adres e-mail / e-mail adress
*
Your answer
Telefon / Telephone number
Your answer
Forma prezentacji / Form of presentation
*
(Organizatorzy zastrzegają Sobie prawo ostatecznej decyzji o formie wystąpienia) (The organizers reserve the right of final decision on the form of presentation)
Referat / Oral presentation
Poster / Poster
Uczestnictwo bez wystąpienia / Participation without presentation
Tytuł wystąpienia / Title of presentation
*
Your answer
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