ICPYS LTP-2018 Registration
Please, fill in all the fields of this online Registration Form in English.
If you are going to make two reports you should fill the Registration Form twice.
NOTE! Registration form must be filled by report representative ONLY ! Co-authors do not need a registration.
Personal Information
Prefix *
Name *
Your answer
Middle Name
Your answer
Surname *
Your answer
E-mail *
Your answer
Phone *
+XXXXX1234567
Your answer
Citizenship *
Your answer
Date of birth *
dd.mm.yyyy
Your answer
Gender *
Company Information
Name of Your Primary Institution/Organization *
Your answer
Department *
Your answer
Position *
Your answer
Scientific Degree, Academic Rank
Your answer
Address of Your Primary Institution/Organization *
Street Address: House Number, Street Name, and Office Number (if applicable)
Your answer
City *
Your answer
Postal / Zip Code *
Your answer
Country *
Your answer
Information About Abstract/Report
Title of Report *
Your answer
Topic *
Please, select one topic from the list
Form of Participation *
Special Invitation with Passport Data
An Invitation, which is required mainly for foreigners for getting Ukrainian visa or crossing the border.
Do You Need a Special Invitation with Passport Data? *
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