Institution (to appear on conference name badge) *
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Country *
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Career stage *
Telephone Number (with country code, e.g. +33-XXXX)
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Confirm your Email *
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Supervisor's Name (if you have a supervisor)
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Supervisor's Email
(if you have a supervisor)
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Prefered Presentation Type *
Presentation Title
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Presentation Co-authors
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I am a member of *
Required
Only Vegetarian food will be served. Please mention if you have any other dietary requirements or allergies
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Which days would like conference lunches? *
Required
Will you be attending the Gala (Banquet Dinner) on 29th August (Thursday) Evening? *
Do you agree
to us holding and using your data on this form for the purpose of organising the conference *
Do you agree to us using your data to inform you about NanoteC25? *
Important Note :
You're NEARLY done! But your registration is NOT CONFIRMED until you email a copy of your hotel or travel tickets to nanotec.aug24@gmail.comas proof of attendance. This email address is also available on our website
A copy of your responses will be emailed to the address you provided.