Registration Form – ICHRM 2014

Registration Form – ICHRM 2014

title
First name
Middle name
Last name
Name for certificate
Passport number
Date of Birth
DDMMYY
Nationality
Institution
Department
Address
Postal/Zip Code
Country
E-mail address
Tel
(country code - area code - tel no.)
Do you have any special requirements / requests?
Registration fee category
Will you be needing a hotel reservation?
Will you participat to the conference tour

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