Participants’ registration and accommodation

26.12.2011 edition

Application form

For the participants of International conference “Modernization in sphere of education as a condition of stable development”

 

Last name _____________________________________________________________________________

First name _____________________________________________________________________________

Middle name ___________________________________________________________________________

 

Organization ___________________________________________________________________________

Position _______________________________________________________________________________

 

Academic degree, title ___________________________________________________________________

 

Would like to join the section ______________________________________________________________

With the report entitled ___________________________________________________________________

 

Time and date of arrival __________________________________________________________________

Time and date of departure ________________________________________________________________

 

Preferable accommodation type (choose out of the given):

  • standard single room
  • sharing double room
  • superior comfort single room
  • hostel accommodation
  • the participant will find accommodation him/herself

 

Contact phone numbers, including the mobile number __________________________________________

E-mail ________________________________________________________________________________