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Passport number or ID card:
Name:
Family name:
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Institution:
(as will appear in your badge)
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E-mail:
Re-enter E-mail:
Please select your category:
Student
Doctor / Professor
Member of the Specialized Group on Nanoscience and Molecular Materials of the RSEQ
I participate in
MOLSPIN COST Action
:
Yes
No
I will attend:
I plan to present:
Plenary Lecture (
only by invitation
)
Invited lecture (
only by invitation
)
Contributed presentation
Poster
None
Tentative Tittle:
I will attend:
Management Committee (MC) meeting on Wednesday 24
th
afternoon
WG1&2 Joint Workshop on Thursday 25
th
Invited talk (
only by invitation
)
Contributed talk
None
Tentative Tittle:
Arriving day:
--
19 Fri
20 Sat
21 Sun
22 Mon
23 Tue
24 Wed
25 Thu
Before Lunch
Before Dinner
After Dinner
Departure day:
--
21 Sun
22 Mon
23 Tue
24 Wed
25 Thu
26 Fri
27 Sat
28 Sun
29 Mon
Before Lunch
Before Dinner
After Dinner
We offer
shuttle services
between Valencia airport and Peníscola.
I would like to take the following bus:
Departure from Valencia airport to Peníscola on Saturday 20th at 18h (specially for people taking part on the excursion on Sunday morning)
Departure from Valencia airport to Peníscola on Sunday 21st at 16h
None
Departure from Peníscola to Valencia airport on Thursday 25th at 10h (arrival to the airport at 11h30-12h00)
Accommodation:
Single room
Double room
I do not need hotel
Room shared with:
or shared with:
Male
Female
I don't mind
This information will be taken into account only if you and the person you want to share the bedroom with, have the same arrival and departure dates.
If you select this option, you have to pay a registration fee of 300€ for doctors or 200€ for students. This registration fee includes: attendance to the Conference, lunches (Monday to Wednesday), coffee break and banquet on Wednesday 24
th
Accompanying person
Extra Day
Half board
Full board
19 Fri
20 Sat
25 Thu
26 Fri
27 Sat
28 Sun
I will take part in the Visit to Morella on Sunday 21
st
October (from 9am to 6pm) 40€
Yes
No
Invoice:
Yes
No
Invoice to:
Address:
Zip Code:
City:
Country:
Select Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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