REGISTRATION FOR THE FORUM

Surname:

Name:

Middle name:

Country:

Date of Birth:

City:

The form of participation:
---Oral reportposterNo report (participation by correspondence)Listener

Position / status:
---StudentGraduate studentResearch engineerResearch AssistantResearcherSenior ResearcherHead of laboratoryDeputy DirectorDirector of the companyHead of Divisionother

Full name:

Short name of the organization

Mailing address:

Academic degree:
---Without the scientific degreePhDDoctor

Academic status:
---Without academic statusDocentProfessorCorresponding memberAcademician

Phone:

e-mail:

I give my consent to the publication in the press (including electronically) materials report (annotations, thesis report, scientific article), as well as information about the authors and scientific leaders (excluding contact details: phones, E-mail, mail addresses). Confirm, expellees that materials do not contain information, to be protected from disclosure. I give my consent to the processing of my personal data (including receipt by me and / or any third party) Organizing Committee. Consent shall be given in accordance with the requirements of the Federal Law of 27.07.2006 № 152-FZ "On Personal Data".

I agree with the terms and conditions