Registration form of an Ukrainian nuclear society member

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Email *

Surname *

Name *

Middle name

Date of Birth *

YYYY

Citizenship *

Position *

Organization *

Contact phone *

+XX(XXX)XXX-XX-XX

Academic degree, title

Knowledge of foreign languages

Scientific and technical interests

I would like to participate in the UkrNS work on the subject

By clicking on this button, you consent to the processing of your personal data, and confirm the provided information and, that you will comply with the provisions of the statute of NGO «UkrNS», participate in the activities of the society and pay membership fees

Required

Send me a copy of my responses.

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