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صفحه اصلی / همایش / همایش بین المللی پژوهش های ایران

همایش بین المللی پژوهش های ایران

Application Form

 

Country ………………………………..…………………………………………………………………..

 

Surname and Family Name ………………………………………………………………………..

 

Affiliation ………………………………………………………………………………………….

 

Faculty …………………………………………………………………………………………….

 

City ………………………………………………………………………………………………..

 

Street ………………………………………………………………………………………………

 

Postal Code / Zip Code …………………………………………………………………………….

 

Phone No …………………………………   Fax No ………………………………………………

 

E-mail ……………………………………………………………………………………………..

 

General field of interest …….………………………….…………………………………………….

 

Current research and projects: …………………………………………………………………….

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

 

SHORT BIOGRAPHICAL INFORMATION (150-200 words):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAPER ABSTRACT

 

DEADLINE: 15 November 2012

 

One copy of the completed Single Paper Abstract form should be submitted with a copy of the Application Form to powerofidentity@uw.edu.pl  “Forms”.

Incomplete abstract forms will be returned to presenters.

 

PAPER TITLE: _________________________________________________________________

 

 

PAPER PRESENTER

 

Name:________________________________________________________________

 

Affiliation:__________________________________________________________________________

 

Address:___________________________________________________________________________

 

Phone:_______________________________________

 

Fax: _________________________________________

 

E-mail:_____________________________________________________________________________

 

 

ABSTRACT (250-500 words):

 

 

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