Participant Registration - Application Form

Carbon copy of the filled application form will be sent to you.

The registration is subject to the following general conditions in application form.

About Applicant

First Name^*

Surname^*

E-mail^*

Job Title, Role or Position^*

Conference Fee

Conference Fee (incl. VAT)	1 Person	2+1 Set (3 Persons)
Standard	367 EUR	734 EUR
Including a discount for the members of ČSSI or for participants from non-ICT enterprises (i.e. participants from user organizations)	284 EUR	568 EUR
Including a discount for the first author of an accepted paper and members of the programme committee	161 EUR
Including a discount for students	124 EUR

Fill next persons, if the 2+1 Set is checked

	First Name	Surame	Job Title, Role
1.
2.

Information for tax document

Company^*

Street^*

Street (2nd line)

City^*

ZipCode^*

Country

Company Identification Number^*

Tax Identification Number^*

Account details^*

Sort or Bank Code^*

Renata Hertlová
email: hertlovr@vse.cz
tel.: +420 224 095 469
fax: +420 224 095 426

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