Registration form of the Participant
NAME______________________________________ POSITION __________________________________ ACADEMIC DEGREE, ACADEMIC STATUS_____________________________________ EDUCATIONAL INSTITUTION_________________ _____________________________________________
_____________________________________________ e- mail____________phone_______fax ____________ THE REPORT SPEECH (duration of the speech is not more than 10 minutes)
MAIN SUBJECT AREA ___ (indicate № of subject area) THE REPORT THEME_________________________ _____________________________________________ DO YOU NEED THE TECHNICAL SUPPORT (indicate the type of the equipment)
DO YOU NEED THE ASSISTANCE IN THE HOTEL RESERVATION?
Signature____________ Date_______________
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SURNAME__________________________________
FULL POST ADDRESS_________________________
yes no from ___ till ____ May, 2015
