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Celebrations of the 65th anniversary of the Faculty of Economic Sciences Warsaw University of Life Sciences

Application form for 

Celebrations of the 65th anniversary of the Faculty of Economic Sciences Warsaw University of Life Sciences

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DECLARATION OF PARTICIPATION
(This question is mandatory)
DECLARATION OF PARTICIPATION
DECLARATION OF PARTICIPATION – part 2
(This question is mandatory)
Participation with presentation (Discussion panel)
Presentation subject (Discussion panel)
Summary (up to 1000 characters including spaces) (Discussion panel)
(This question is mandatory)
Participation with presentation (Thematic sessions)
Presentation subject (Thematic sessions)
Summary (up to 1000 characters including spaces) (Thematic sessions)
PARTICIPANT'S PERSONAL INFORMATION
(This question is mandatory)
Surname
(This question is mandatory)
First Name
(This question is mandatory)
Degree / academic title
(This question is mandatory)
E-mail
(This question is mandatory)
Phone number
(This question is mandatory)
Institution
(This question is mandatory)
Institution’s name
(This question is mandatory)
faculty / institute / department
(This question is mandatory)
position
(This question is mandatory)
beginning of studies year
(This question is mandatory)
graduation year
CORRESPONDENCE INFORMATION
(This question is mandatory)
street
(This question is mandatory)
building number
apartment number
(This question is mandatory)
post code
(This question is mandatory)
city
JUBILEE MATERIALS
The organizers provide a package of jubilee materials (cotton bag, t-shirt, pen, lanyard, identifier) after paying 80 PLN.
(This question is mandatory)
Package of jubilee materials
(This question is mandatory)
T-shirt size
DECLARATION
(This question is mandatory)
I declare that I consent to the processing of my personal data for purposes related to the organization of the conference and the publication of the sent by me materials, in accordance with the Act of 29 August 1997 on personal data protection (vol. U. 2016, item 922)
(This question is mandatory)
I declare that I consent to the processing of my personal data for purposes related to the organization of the conference and the publication of the sent by me materials, in accordance with the Act of 29 August 1997 on personal data protection (vol. U. 2016, item 922)