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Enregistrement à - Registration to IWAHLM17
Ce document vous permettra de renseigner les informations nécessaires à votre inscription au symposium.
This document will allow you to provide the information necessary for your registration for the symposium.
* Indicates required question
Veuillez indiquer votre nom et prénom
Please fill your surname and family name
*
Your answer
Veuillez indiquer votre adresse de courriel
Please provide your e-mail address
*
Exemple:
nom@domaine.com
Your answer
Veuillez indiquer le type de participation
Please provide the type of registration
*
Présentiel - In-person
Étudiant - Student
En ligne - On-line
En ligne Étudiant - On-line Student
Serez-vous accompagné (femme, concubin)
Are you coming with a non-attendent (wife, partner)
*
Oui - Yes
Non - No
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