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CANT School
Registration Form - Fields with
(*)
are required.
Title
(*)
Mr.
Miss
Ms.
Dr.
Prof.
Family name
(*)
First names
(*)
Nationality
(*)
Sex
(*)
Male
Female
Organisation/University
(*)
Faculty/Institute
Departement
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(*)
Postcode/ZIP
(*)
Town
(*)
Country
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Telephone
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Email
(*)
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Estimated date of arrival
(*)
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(*)
Do you intend to participate in
CANT'09
(1-5 June) ?
(*)
Yes
No
AutoMathA'09
(8-12 June) ?
(*)
Yes
No
the conference banquet
(11 June) ?
(*)
Yes
No
Special food requirements (allergies, etc.)