2018 POLISH EVOLUTIONARY CONFERENCE – REGISTRATION FORM
Date: 26-28 September 2018
Location: Centre of New Technologies, Banacha 2c, 02-097 Warsaw, Poland
Registration deadline: Early bird: 4 April - 4 July 2018; Late registration: 5 July - 31 August 2018
The official language of the conference is English.
Email address *
Title *
e.g. [none/ student] or Masters, PhD, Prof.
Your answer
Name *
(given name or names; as you would like it to be stated in the conference programme as well as any conference-related correspondence and documentation)
Your answer
Surname (Family name) *
(as you would like it to be stated in the conference programme as well as any conference-related correspondence and documentation)
Your answer
Gender *
for statistic purposes
Affiliation *
name and address of your institution
Your answer
Registration type *
Early bird: 4 April - 4 July 2018; late registration: 5 July - 31 August 2018 The Early bird / Late fee depends on the date when you register to the conference. By registering to the conference you are committing to paying the registration fee a maximum of 2 weeks after registration (i.e. if you register on 04.07.2018, a payment via bank transfer needs to be made on 18.07.2018 at the very latest to qualify for Early bird fee). Any registration with no bank transfer made in the aforementioned timeframe will be cancelled. All enrolled students (including these enrolled in doctoral programmes) are eligible for a student fee.
I would like to *
If your proposed talk is not selected for an oral presentation (we have a limited number of slots for talks), we may offer you to present a poster.
Invoice information - institution name and address *
Please provide a full name and a full address of the institution the invoice will be prepared for; please make sure the provided details are correct and that they are provided in full. If you do not seek reimbursement, please provide your home address so we can send the invoice to your personal address.
Your answer
Invoice information - tax identification number (NIP)
Please provide a valid tax identification number (NIP) of the institution the invoice is prepared for; please make sure the provided details are correct.
Your answer
Dietary restrictions
The conference will be vegetarian with optional fish. Please indicate below your preferences, although it is not compulsory to do so (please note – all omnivores eat plants!).
Accommodation
Please make your accommodation arrangements directly with hotels in Warsaw - a few suggestions for hotels in close vicinity of CeNT will appear on the website shortly. However, we will also aim to pre-book a certain number of rooms in student houses nearby CeNT. It is possible that these will be in shared accommodation. For those interested in accommodation in student houses, please tick below:
Childcare
We do not have childcare arranged for the conference at this stage. However, if there is considerable interest in providing childcare during the conference we will make efforts to facilitate attending the conference with young children and we will contact all those interested with suggestions. By responding "yes" you are not committing to anything – you are simply letting us know what the level of interest is and who to contact in that matter before the conference).
Excursion
We are planning to organise a boat trip on the Vistula River on Saturday after the conference - allows for some great birding and insight into river island nature reserves around Warsaw. The trip would need to be paid for separately (we will try to keep it to minimum costs!), and we are in need of an indicative declaration whether you would like to attend or not.
Consents - compulsory *
I agree to the processing of my personal data included in this registration form for the needs related to the organisation of the 6th Polish Evolutionary Conference (in accordance with the act of 29 August 1997 on Personal Data Protection, Ledger of Laws no. 133, item 883). I agree for my name, surname, affiliation as well as the title and abstract of my presentation (if applicable) to be published at the online website of the conference as well as in the printed conference programme booklets. I agree for the organisers to contact me using the provided email address regarding the matters of the conference. I agree to the processing of my personal data included in this registration form for the needs related to the organisation of the 6th Polish Evolutionary Conference (in accordance with the act of 29 August 1997 on Personal Data Protection, Ledger of Laws no. 133, item 883). I agree for my name, surname, affiliation as well as the title and abstract of my presentation (if applicable) to be published at the online website of the conference as well as in the printed conference programme booklets. I agree for the organisers to contact me using the provided email address regarding the matters of the conference
Required
Consents - optional *
I agree for my email address to be published in the printed conference programme booklets (distributed to the conference attendees) in order to facilitate contact between the attendeesI agree for my email address to be disclosed to other conference participants in email communication (in the email's "send to"/"CC" address lists)
Registration fee payment information
For all attendees financed by other sources than the University of Warsaw: registration fees are payable by bank transfer. The transfer needs to be made in polish currency (PLN).

Please arrange the payment within two weeks from submitting the registration.

Transfer details:

Recipient: Uniwersytet Warszawski
Recipient's address: Krakowskie Przedmieście 26/28, 00-927 Warszawa
Bank account number: 79 1160 2202 0000 0002 4910 2851
IBAN format: PL79 1160 2202 0000 0002 4910 2851
BIC/SWIFT: BIGBPLPWXXX
Bank Name: MILLENIUM, Warsaw
Transfer title: "PEC2018 registration - YourName YourSurname" (e.g. "PEC2018 registration - Charles Darwin")

After completing the registration fee payment, please send the bank transfer confirmation as an attachment in PDF format to pec2018@cent.uw.edu.pl with the following information in the email title: “YourName, YourSurname, PEC2018 PAYMENT”

The invoice will be sent to the provided email address within two weeks from receiving the payment.

For attendees who need a refund to be paid by the University of Warsaw: the registration fee will be charged as an internal university note (Nota księgowa) – you do not need to make any bank transfer, simply register to the conference!

If you have any queries, please contact us at pec2018@gmail.com

A copy of your responses will be emailed to the address you provided.
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