Registration Form - The 6th International Research Symposium (2017)
The information you kindly provide are required for administrative purposes and to issue the invoice for your payment of the registration fee.
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First Name *
Your answer
Last Name *
Your answer
Place of birth *
Your answer
Date of Birth *
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Gender *
Nationality *
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Nation of Residence *
Your answer
Town of Residence *
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Address of Residence *
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Fiscal Code or Tax payer's number or Social Security Number *
Your answer
e-mail address *
Your answer
University or Institution *
Your answer
To properly organize our daily activities we wish to ask you some information about your stay
How do you pay the registration fee? *
NB: Copy of the bank transfert has to be sent to sgbed@uniolbia.it to complete registration. please read the instructions on the Symposium website
Approx date of arrival at the Symposium *
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Approx date of departure from the Symposium *
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Approx number of days at the Symposium *
Your answer
Are you willing to partecipate at the welcome drink and / or gala dinner (included in the registration fee)
Are you willing to partecipate at the excursions (chosen by the partecipants)
Please, specify your food intolerance's or allergies, if any.
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