REGISTRATION CARD(preliminary registration till August 1, 2009)
|
|||||||
I AM GOING TO TAKE PART in the International Scientific Practical Conference “Modern Aspects of Epidemiological Surveillance and Prevention of Especially Dangerous and Natural Focal Infections”, devoted to 75 Anniversary of the Institute (Irkutsk, September 22-24, 2009)
|
|||||||
Form of participation (request to designate): | |||||||
Theses publication in the Collected Book | |||||||
Presentation of oral report | |||||||
Participation without publication and report | |||||||
Participation in exposition | |||||||
Presentation of oral advertising report | |||||||
Advertisement publication in the Collected Book |
Surname | |||
First name | Second name | ||
Academic degree, title | |||
Workplace | |||
Position | |||
Subdivision | |||
Address of the Institute | |||
Contact telephone with postal prefix | |||
Fax |
We invite you to take part in the Conference work!