IMSmC'2015 Registration

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First name (first author) *

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Family name (first author) *

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First name (second author) *

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Family name (second author) *

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Home university/polytechnic *

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Faculty (Home university/polytechnic) *

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Hosting university *

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Faculty (hosting university) *

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E.mail account *

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Title of presentation *

not authors please write the word: 'none'

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Participant type *

1. Author

2. Participant (not author), visitor, mentor

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