Jean Monnet Module
National Public Administration and European Integration
Convergence of Public Administration in EU Member States
CONFERENCE ENROLMENT SHEET CRACOW, 17-18 October 2018 FIRST NAME
SURNAME
Academic title and rank Represented
university/institution Mailing address
Data required for invoicing:
Taxpayer’s Identification Number, name of the institution or first name and surname (if a private person pays), payer’s address, address to which the invoice should be sent Exemption from the conference and accommodation fee
yes/no*
E-mail address Telephone number
Nutritional preferences meat/vegetarian dishes*
Accommodation booking 16-17 October/ 17-18 October/ 18-19 October*
My conference contribution will be delivered in
Polish/English*
Contribution title
Abstract (circa 200 words)
* Cross out the wrong answer(s).
Please sent the completed form by 8 July 2018 to: [email protected]
………
date, signature
