Venue Registration

Preliminary Online Registration

* - Obligatory

Family name *

First name *

Sex (f/m) *

Position (title) *

Organization *

Mailing address *

City *

ZIP-Code *

Country *

Phone

Fax

E-mail address *

Preliminary title of the talk

If you would like to have a visa support

Date of birth *

YYYY/MM/DD

Passport Number *

Passport valid until *

YYYY/MM/DD

Citizenship *

Location of the Ukrainian Consulate to which you will apply for visa

town, country

If you need visa support beyond the Conference program, give a list of FSU countries and cities you plan to visit

I need room reservation

yes/no

Approximate date of arrival if known

YYYY/MM/DD

Approximate date of departure if known

YYYY/MM/DD

Accompanying persons

yes/no (if yes, please fill the registration form for accompanying persons)