No-Fraud - Booking Form
Please fill in the form to register to our conference
Name *
Your answer
Surname *
Your answer
Place of birth *
Your answer
Date of birth *
MM
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DD
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YYYY
Nationality *
Your answer
e-mail *
Your answer
Passport/ID n. *
Your answer
Expiry date *
MM
/
DD
/
YYYY
Gender *
Travel *
Place of departure *
Your answer
Place of arrival *
Your answer
Departure date *
MM
/
DD
/
YYYY
RETURN: Place of departure *
Your answer
RETURN: Place of arrival *
Your answer
RETURN: Departure date *
MM
/
DD
/
YYYY
HOTEL: check in *
MM
/
DD
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YYYY
HOTEL: check out *
MM
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DD
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YYYY
Room *
“Travel tickets, hotel and subsistence costs will be paid directly by ISES.All other costs (if you choose a different hotel, different restaurants, all extras) will have to be paid by you”.Personal data disclosed in this form are treated in accordance with Art. 13 of Legislative Decree no. 30/06/03, No 196 "Code concerning the protection of personal data", and will be used exclusively for the provision of services required. These data will not be disclosed to third parties for any reason. *
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