Proposal form

 

 

 

 
  Please complete and submit the proposal form below.

 
First Name : 

Surname :

Occupation:


(professor, researcher, consultant, manager, doctoral student)

Affiliation:


(university, research centre, company)

Address: 



City:

Province/State:

Postal Code:

Country:

Telephone:

Fax:

E-mail:

Web site :

 

 

Type of research:
Hold the «Ctrl» key to choose more than one



Other (specify):
 
Main Discipline:
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Other (specify):
 
Field of Application:
 Hold the «Ctrl» key to choose more than one

Other (specify):
 
Abstract
Please attach your abstract and keywords (two pages max.)






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