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ESMEC 2022 — Registration form
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Registration fee
*
Bank details to pay the registration fee: SCI-ESMEC — Bank: UniCredit - Branch: Urbino Puccinotti - IBAN: IT 50 N 02008 68703 000005068853BIC SWIFT: UNCRITM1Q34
EUR. 500,00 — Students
EUR. 550,00 — Academic and Industry - SCI Member
EUR. 600,00 Academic and Industry - Non SCI Member
Other
Title
*
PhD student
Dr
Prof
Name
*
Your answer
Family name
*
Your answer
Email
*
Your answer
Mobile Phone
*
Your answer
Sex
*
Male
Female
Institution
*
Your answer
Address
*
Your answer
Country
*
Your answer
Arrival date
*
July 3rd, 2022
July 4th, 2022
July 5th, 2022
July 6th, 2022
Departure date
*
July 4th, 2022
July 5th, 2022
July 6th, 2022
July 7th, 2022
Number of nights
*
1
2
3
4
Accommodation
*
Double room at Collegio Internazionale to share with anyone
Double room at Collegio Internazionale to share with [express a preference below]
Single room at Collegio del Colle (1km from city center, 20 min walking)
I will arrange my own accommodation
Accommodation — express a preference
In case you choose "double room at Collegio Internazionale to share with"
Your answer
I wish to apply for selection of 6 short oral presentation on July 7th:
*
Yes
No
I wish to reserve a seat on the coach from the airport of:
EUR. 30,00 — from BLQ to Urbino
EUR. 50,00 — from FCO to Urbino
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