ENTO Study Lab GEORGIA 2019 Registration Form
ENTO will use the information provided in the form for its own purposes and it will not be shared to other third party.
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Name
Surname
Date of Birth
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DD
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Gender
Passport number
Issuing Country
E-mail:
Mobile:
I have special request for food:
Clear selection
When in place, I need local sim card (will be provided free of charge):
Clear selection
I am accompanied by family member and we will stay in one room:
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In case on the positive reply on the previous question, please, indicate the name and surname of the accompanying person:
Organization you work in:
Position held in your organization:
ENTO member you are affiliated with:
Your status related to ENTO member:
Have you ever participated in ENTO meetings and events?
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I agree, to submit my personal information to receive the ENTO newsletters:
I agree, that the information provided in the registration form is correct and I agree to participate in the Study Lab 2019:
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