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Заявка на участие в конференции "Безопасный Север - чистая Арктика" / Application for participation in the conference "Safe North-clean Arctic"
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* Indicates required question
Email
*
Your email
Фамилия / Last name
*
Your answer
Имя Отчество / First name (Middle name)
*
Your answer
Место работы (учёбы) (полное название) / Place of work (study) (full name)
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Your answer
Должность, ученая степень, звание / Post, academic degree, degree
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Your answer
E-mail для переписки / E-mail
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Your answer
Телефон с кодом города / Phone number with city code
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Your answer
Форма участия / Form of participation
*
очная / intramural
дистанционная / online
Согласие на обработку персональных данных / Permission for the personal data processing
*
да/yes
нет/no
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