Registration Form SLS 2018

ITALY, GAETA, 07.10-13.10.2018

 

1

Surname

 

Given name

 

Middle name

 

2

Name of scientific institution / organization

 

 

Position

 

3

International passport number

 

4

Validity of the international passport

 

 

Date of birth

 

5

Contact telephone number (mobile, office)

 

 

e-mail

 

 

Hotel accommodation:

6

Name of the hotel

 

7

Room category

 

8

Check-in and check-out dates

 

 

Flights Moscow-Rome-Moscow, Moscow-Naples-Moscow

9

Do you need a reservation for Moscow-Rome-Moscow/Moscow-Naples-Moscow flights?

 

10

 

Date of departure from Moscow to Rome
Date of departure from Moscow to Naples

 

Flight number

 

 

 

Date of departure from Rome to Moscow
Date of departure from Naples to Moscow

 

Flight number

 

Schengen visa yes no

Additional services

11

 

 

12