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Application

Updated: 9/29/2010

Application:

Surname: ____________________________________________________________
First name: ___________________________________________________________
Patronymic: _________________________________________________________
Scientific degree: ______________________________________________________
Academic rank:    _____________________________________________________
Position: ____________________________________________________________
Institution: ___________________________________________________________
Country, address: _____________________________________________________
Telephone: __________________________________________________________
Fax: ________________________________________________________________
E-mail: _____________________________________________________________
Workshop/section: __________________________
Title of the contribution: _________________________________________________

Indicate the type of your contribution:         

□        plenary meeting □ workshop/section    □ poster presentation

□        only publication     □ presentation of software