REGISTRATION

Registration Form

Please use capital letters and indicate below by crossing the appropriate field.
Degree:
Last Name:
First Name:
Company / Institution:
Street, No.:
City; ZIP code:
Country:
E-mail:
Company ID (IČ):
VAT No. (DIČ):
PRESENTATION
Title of presentation:
Form of presentation:	Oral presentationPosterBoth
Title of second presentation:
Select a topic:	1 - Advanced Nanomaterials2 - Nanomaterials Characterizations and Devices3 - Nanotech for Energy4 - Nanotech for Medicine and Pharmacy5 - Nanotech for Environment Solution6 - Industrial Forum
Conference paper:	I wish to publish full conference paper
Registration fee:	Returning Conference Participant Regular Fee - Presenting AuthorStudent Accompanying Person One-Day Fee*
*Date of One-Day Fee:
Confirmation of study:
ACCOMMODATION
Accommodation:	I prefer accommodation in the residential halls of VŠB-TU Ostrava - Hotel Garni**
Room:	Double room (880 Kč)Single room (700 Kč)
Dates of accommodation:	13/14 May14/15 May15/16 May
**The price in Hotel Garni includes: one night's accommodation and breakfast. Payment of accommodation: cash in Czech crowns or card at hotel reception. Another type of accommodation is provided by the participant himself.
Accomodation:	I prefer another type of accomodation
Please answer numerically:	Sum of patnáct and four
Odesláním formuláře prohlašuji, že beru na vědomí zpracování osobních údajů (informační povinnost vůči objednateli v souladu s Nařízením Evropského parlamentu a Rady 2016/679 o ochraně fyzických osob).

13-16 May 2019

REGISTRATION

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