Fakulta humanitních studií
UTB ve Zlíně
APPLICATION FORM
Title before
First name (*)
Surname (*)
Title after
Street and No
City
Postal Code
Email
Organization
Identification Number
VAT Number
PassivePractitioner (KNTB)
Author of the Paper
Co-authors of the Paper (max. 2)
Post Title (CZ, SK, PL)
Post Title (EN)
Brief Annotation (max. 2-3 lines)
Form of Presentation
LecturePoster
The above personal data is required and shall be processed exclusively for the purpose of subsequent charging of the conference fee. By filing this application I commit to apply to the conference Family - Health - Illness, and confirm that the above data is true and correct. I acknowledge the fact that the conference fee is based on mutual agreement, and that it is nonrefundable (not even partially) even if I do not take part in the conference. I also acknowledge that photographs shall be taken during the conference to be used for its promotion or that of the organizer.
(*) - Required Items
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