PARTICIPANT (please type or print in capital letter)
Family Name: First Name: Title: Address: Affiliation: Phone: Fax: E-mail:
PhD Student Master Student Other
Which year: Which year: Please specify:
Accomodation I would like to book a place in a room I will book a room on my own
REGISTRATION FEE The fee is 350 Euros. It comprises: lectures attendance; summer school materials; participations at workshops; accommodation in UPT Student Guest House in double rooms 7 days with included breakfast; daily lunch and dinner; excursion; social events. The number of participants is limited to 30. Acceptance will be according to the registration date.
METHOD OF PAYMENT Payment in EURO without any charges to the beneficiary should be made by Bank transfer to: Account holder/institution name: Universitatea Politehnica din Timisoara Institution address: Pta Victoriei no. 2, 300006 Timisoara, Romania VAT registration number ("cod fiscal" or "CUI") of the institution: RO4269282 Bank name: BCR Timisoara, Sucursala Bastion Bank address: Pta Sf.Gheorghe no.1, 300085 Timisoara, Romania Swift code: RNCBROBU Account number (IBAN): Ro33RNCB0255008330450002 Please make sure to include the following text: your full name, “Registration Summer School MMMDMR 2014”
For Romania Plata in echivalent LEI (RON), fara taxe pentru beneficiar, se va face prin transfer bancar la: Beneficiar: Universitatea Politehnica din Timisoara Adresa: Pta Victoriei nr. 2, 300006 Timisoara, Romania Cod fiscal (CUI): RO4269282 Banca: Trezoreria Timisoara IBAN: Ro22TREZ621504601X000505 Cu specificarea urmatorului text: numele complet al participantului, “Taxa Scoala de Vara MMMDMR 2014”
Arrival date: Departure date:
Please return with a copy of your payment, only by email to: erwin.lovasz@upt.ro.
Your Name:
Upload application: Obs: Please load application files in .zip format. If any problems occur, please contact erwin.lovasz@mec.upt.ro.
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