Active Participant
Before filling the form read the rules Regulations. Have any questions? Contact with us via e-mail: 21stimclublin@umlub.pl
Personal Information
Title
Gender *
First name *
Second name
Last name *
Birthdate *
 mm/dd/yyyy
Address *
ZIP code *
City *
Country *
Phone number *
Email *
 
Are you Student or Young Doctor ? *
University *
Others
Do you need Visa ? *
Do you need the invoice ? *
Diet *
Banquet *
Would you be interested in taking part in a club party the day before the conference (05.04.2019) ? *
Would you be interested in booking accommodation in Cent Hostel ? *
A person who told you about the Congress or how did you find out about the Congress ?
Abstract 1 (required)
Abstract 1 Session (abstract guidelines) *
Abstract 1 Title of work *
Abstract 1 Departament / Research group *
Abstract 1 Authors *
Abstract 1 Supervisor *
Abstract 1 Abstract *
Abstract 1 Keywords *
Abstract 2 (not required)
Abstract 2 Session *
Abstract 3 (not required)
Abstract 3 Session *
In case the participant would want to present three scientific papers,
an additional payment occurs in the amount of 50 PLN.
 
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