Please check the content of this form carefully as you will not be able to make modifications after submission. If it is necessary to change any information after submission, please e-mail or a fax the changes to the Meeting Secretariat: dss2023@cbttravel.cz; fax: +420-224 942 550. The system will delete your answers after 30 minutes of inactivity or once the window is closed without submission.
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Name
Surname
ORCID
Field of research (Frascatti manual)
Institution/University
Position
Doctoral Candidate (which year)
Postdoctoral Researcher (year obtaining PhD)
GenderFemale | Male
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E-mail
Dietary restriction lactose | vegan | vegetarian | gluten free
Registration fee will cover:
Tax invoices
All fees are quoted in CZK and include VAT 21%. Tax invoices will be issued automatically upon receipt of any payment. They will be sent by e-mail or can be collected at the registration desk of the Conference.
Credit Card – Push payment system
Congress Business Travel will generate a link for you, which will be sent to your email address to provide the payment. This link is valid for several days according to the date indicated in the link. When you receive the link, your browser will be redirectet to the payment gateway Global Payment webpay.
The Global payment Europe - is one of the most used in the Czech Republic with 3D Secure security and can accept payments issued by Visa, Mastercard, Dinners Club and American Express associations.
Bank transfer
A proforma invoice will be issued upon request. Please write your requirements in the VI. Notes section.
I request a proforma invoice on my name
In case you need to issue an invoice or if someone else is paying your registration fee, please, tick the following box.
Different payer or invoice.
Organization name
Invoice address
Address
City
ZIP code
CountrySelect countryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua-BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia-HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChechnyaChileChinaColombiaComorosCongo, RepublicCongo, Democratic Rep.Costa RicaCote d IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent-GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamPalestineWestern SamoaWestern SaharaYemenZambiaZimbabwe
Contact person
Phone+ (+420 123456789)
VAT
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Notes
I agree with the use of my personal data by the company Congress Business Travel spol., s r.o., in accordance with the Czech Personal Information Protection Act 101/2000 Sb. The data will be used solely for the purposes of this conference; giving consent is a necessary condition of your registration.
