Application form

 

 

Instructions can be downloaded here: ApplicationForm.doc

 

 

Author´s Surname and Name

 

E-mail for Communication

 

Co-authors´  Surname and Name

 

Applying for participation in the conference (underline)

A)   scientific work       B) professional work        C) without work

Country of origin of author-co-authors

1.     __________________________________________ (author)

2.     __________________________________________ (coauthor)

3.     __________________________________________ (coauthor)

4.     __________________________________________ (coauthor)

Organization-title/address/

e-mail/phone

1.     ________________________________________________________ (author)

2.     ______________________________________________________ (coauthor)

3.     ______________________________________________________ (coauthor)

4.     ______________________________________________________ (coauthor)

Number of authors and co-authors of the work (underline – write if necessary)

a)    Only author

b)    Author and one co-author

c)     Author and two co-authors

d)    ________________________

Theme tittle

 

Abstract (up to 150 words)

 

Key words (up to 5 words)

 

Method of payment of the fee and data for issuing an invoice

(underline – write necessary)

A) Natural person

First name:

Surname:

Street:

Postcode, City:

B) Legal entity

Name of Company:

VAT no.:

Street:

Postcode, City:

e-mail:

I want to introduce products and/or services at the exhibition part of the event

YES   

 

NO

Deliver me a special call and the conditions for the exhibition part of the event in the e-mail: ______________________

NOTE:

  1. Please, sign registration form as follows: Surname-Name, Application_SeCMan2018
  2. Completed registration form send to e-mail: konferencija@rabek.org
  3. In case that there is no response on the report within three days, please resend or call on the phone numbers and write on the e-mails which are listed in the invitation flyer.