Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastBirth Date *Title(Prof., Dr., Post-doc,PhD student, Mr., Mrs., Ms.) *Country *City *Affiliation (Institute, University, etc.) *Adress (e.g.4 ap., 14 Science ave., Kharkiv, Ukraine) *Postcode *Phone *Email *Will you participate? (required) *YesNoDon't knowYou need a certificate of participation?YesNoDon't knowWill you need acommodation?YesNoDon't knowPlease meet meYesNoDon't know For arrivals of other cities, countries (arriving data,flight or train number, time, departing date,time airport, Train Station etc. )Comment (for example, ask for financial support only by PhD students, ask for a special diet, special conditions, a list of accompanying persons, a request for a meeting at the bus station/the airport)Type of the first reportPosterOralWill you prepare your first report as an article?YesNoDon't knowTitle of the first report (in English)Authors of the first report (in English)Presenting author of the first report (in English)FirstMiddleLastAbstract of the first report (in English)Title of the first report (in Ukrainian)Authors of the first report (in Ukrainian)Presenting author of the first report (in Ukrainian)FirstMiddleLastAbstract of the first report (in Ukrainian)Title of the first report (in Russian) Authors of the first report (in Russian) Presenting author of the first report (in Russian)FirstMiddleLastAbstract of the first report (in Russian) Type of the second report PosterOralWill you prepare your second report as an article? YesNoDon't knowWill you prepare your second report as an article? YesNoTitle of the second report (in English) Authors of the second report (in English)Presenting author of the second report (in English)FirstMiddleLastAbstract of the second report (in English)Title of the second report (in Ukrainian) Authors of the second report (in Ukrainian) Presenting author of the second report (in Ukrainian) FirstMiddleLastAbstract of the second report (in Ukrainian) Title of the second report (in Russian)Authors of the second report (in Russian) Presenting author of the second report (in Russian) FirstMiddleLastAbstract of the second report (in Russian) CommentSubmit
