PhDiaFusion2023 Registration Form


All participants of the PhDiaFusion 2023 School are kindly requested to complete the on-line registration form below before 15.05.2023.

Please use english characters if possible

* Required fields

Contribution type*:

Title*:

First name*:

Last name*:

Name of your affiliation*:

E-mail address*:

Phone number:

Title of your abstract:

Supervisor:

(name and e-mail)

Billing information*:

(name and address of your institution)

Please provide VAT no. of your institution

Accommodation*:

Check-in date

Check-out date

Food*:

Special requests:

Bus:

I would like to take an organized bus Kraków (IFJ) →  Niepołomice (venue) on the arrival date: 19/06/23

I would like to take a return bus Niepołomice →  Kraków on the departure date:  23/06/23

How did you hear about us?

I confirm that I am familiar with information about data protection described here*.

Yes, I have read and I agree to the data protection  policy

I consent to being photographed/recorded by the organizers and authorize that the photos/recordings may be used in publicity materials, including printed publications, promotional videos, and digital media including the school websites and social media*.

Participant list:

Specify whether you consent to being included in the event's list of participants published in the book of abstracts, school’s website and printed posters*.

I want to receive information about future events organized by IFJ PAN*.

Submit

(e.g. accompanying person)

        I consent to the processing of my personal data by the Henryk Niewodniczański Institute of Nuclear Physics Polish Academy of Sciences for the purpose of preparing proper meals with regard to food preferences*

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