XXVIII SCHOOL OF PURE AND APPLIED BIOPHYSICS

event details

For more information: Official website

organiser

DOUBLE EM

Tell: 010 860 2968

find out more

when

Lunedì 5 Febbraio 2024 9:00 - Venerdì 9 Febbraio 2024 13:00

Location

Istituto Veneto di Scienze Lettere e Arti (IVSLA)

Campo Santo Stefano (S. Marco 2847)

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Registration Form

School of Pure and Applied Biophysics VENICE

To register, please fill in the form.

"*" indicates required fields

SURNAME OF THE PERSON WHO WILL ATTEND THE SCHOOL*

NAME OF THE PERSON WHO WILL ATTEND THE SCHOOL*

TITLE*

University/Institution/Company name/Department*

ADDRESS*

Address Town Mobile Phone ZIP CODE COUNTRY

Email*

Special meals: We can guarantee special meals only if confirmed here*

No allergies

Glutenfree

Lactose free

Vegan

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PLEASE SPECIFY ALLERGY TO:

VISA: if you require an invitation letter for VISA application, complete this section. The invitation letter will be e-mailed after receipt of payment of the conference registration fee

Check this box if you need an invitation letter for VISA

Date of birth*

Place of birth*

Country

Passport Number*

ISSUED ON*

EXPIRE DATE*

Please upload your passport*

Max. file size: 64 MB.

CONGRESS FEE*

SIBPA MEMBERS € 650,00

SIBPA Non members € 700,00

ONLY SCHOOL with no accommodation € 350,00

INVOICE HAS TO BE ADDRESSED TO:*

University/Institution/Company name/Department/ Name - Surname Billing address Town ZIP CODE COUNTRY

CODICE SDI*

CODICE PER FATTURA ELETTRONICA OBBLIGATORIO PER ENTI E AZIENDE ITALIANE. SE LA FATTURA VA INTESTATA A PERSONA FISICA, INSERIRE N/A

VAT NUMBER*

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FISCAL CODE*

Mandatory for invoices addressed to ITALIAN PARTICIPANTS or Institutions/Companies IF DIFFERENT FROM VAT. In other cases, plelase insert N/A

Total

PAYMENT can be done by Bank Transfer to

DOUBLE EM SRL IBAN IT06X0503401437000000001315 BIC/SWIFT BAPPIT21D04

Processing of Personal Data*

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event details

event details

For more information: Official website

organiser

DOUBLE EM

when

Location

Registration Form

School of Pure and Applied Biophysics VENICE

PAYMENT can be done by Bank Transfer to

IL TEAM DOUBLE EM

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