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OSD 2014 Registration Form
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* Indicates required question
Title
*
If you are a student please remember to send us a scan of your student identification card
Choose
Prof.
Dr.
Mr/Ms
Student
First name
*
Your answer
Middle name
Your answer
Last name
*
Your answer
Sex
*
Choose
Male
Female
E-mail address
*
Your answer
Institution, address
*
Your answer
Invoice data
Your answer
Talk
*
Choose
Without talk
Invited talk
Contributed talk
Number of accompanying persons
*
(including children under 4)
Your answer
Names of the accompanying person (if applicable)
(please separate names with semicolons and mark children under 4 with "under 4" in brackets)
Your answer
Dietary restrictions
*
Choose
No restrictions
Vegetarian
Other
Diet remarks (if any)
Your answer
If you would like to share a room with sb please give her/his name
Your answer
Additional comments
Your answer
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