Surname:  *

Name:  *

Place of work/study:  *

Academic degree, rank:

Position:  * Student
  Supervisor:

Postgraduate student
  Supervisor:

Lecturer
Researcher
Other:

Title of report:  *

Authors (Ivanenko I.I., ...):  *

E-mail:  *

Contact phone number:  *

Form of participation:  *  Full-time participation:Report   Poster

Distance participation

Check In Date:

Date of departure:

The need for a settlement: Accommodation at KPI
No

Additional Information:

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