Registration form

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Registration form

REGIONAL COOPERATION IN HIGHER EDUCATION: HUNGARY AND WEST BALKANS
Szeged, Hungary | 10-11 March 2015

Deadline for registration: 16 February 2015, 12.00 pm (midnight)

The event takes place at University of Szeged
Address: Dugonics tér 13, Szeged, H-6720

The language of the conference is English (without interpretation).

Conference programme: http://tka.hu/international_events/2602/regional-cooperation-in-higher-education-hungary-and-western-balkans

Title

(Mr, Ms, Dr etc.)

First name(s) *

Family name *

Position *

(professor, head, director, assistant etc.)

Official name of the institution/organization in English *

Unit *

(faculty, institute, department, centre, office etc.)

E-mail address *

Telephone number *

International format: +36201234567

First day

I would like to participate in the first day of the conference Regional Cooperation in Higher Education: Hungary and the West Balkans on 10 March 2015, in Szeged, Hungary. *

YES

I would like to participate in the dinner following the first day of the conference on 10 March 2015. *

YES

Accommodation

If you prefer your accommodation (in Art Hotel Szeged) to be covered by Tempus Public Foundation you must participate on both days of the conference and need to provide the following information for a contract that will be signed upon arrival, the latest. Please note that this offer is limited and we reserve the right to cover accommodation costs for those who registered earlier. All accepted participants will be informed in due time.

I would like to have accommodation in Art Hotel Szeged on 10 March 2015 (1 night with breakfast). *

Standard single room, upgrade or joint accommodation is possible on voluntary basis. Any extra nights and extra services (mini bar, laundry etc.) have to be payed by the participants. More information: http://www.arthotelszeged.hu/

YES

Please let us know if you have any special request regarding the accommodation.

Name

Name at birth

Date of birth

YYYY

Place of birth

town and country

Mother's name

Citizenship

Address

street, number, town, zip code, country

Passport / ID number

Tax number

(at your home country)

Social security number

(at your home country)

Name of full-time, permanent workplace

Address of full-time, permanent workplace

street, number, town, zip code, country

Second day

I would like to participate in the campus tour organized by University of Szeged from 8.00 to 9.00 AM on 11 March 2015. *

YES

I would like to participate in the second day of the conference Regional Cooperation in Higher Education: Hungary and the West Balkans on 11 March 2015, in Szeged, Hungary. *

YES

I would like to participate in the buffet lunch on the second day of the conference. *

YES

Do you need an invitation letter for visa purposes? *

More information: http://konzuliszolgalat.kormany.hu/en

YES

Please let us know if you have any special needs or comments.

(accessible venue, sign language interpreter, vegetarian, vegan food, food allergy etc.)

I acknowledge that Tempus Public Foundation manages my personal information in accordance with the applicable regulation. *

YES

I acknowledge that Tempus Public Foundation can take pictures, videos and records during the event which can be used later for online and offline documents published and produced by Tempus Public Foundation. *

YES

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