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Dear participant,

Thank you for your interest in our first international Conference of UDEL21. This form is the only way to subscribe. When you receive our confirmation, your registration is completed.

Kind regards,

The conference organisers

1. Surname:
d
2. (first) name (as mentioned on your passport):
d
3. Gender:
Female
4. Date of birth:
10/1/1996
5. Organisation (name and number for Flemish schools):
d
6.  Street and number:
Thái Hà
7. Postal code & city:
100000
8. Country:
Việt Nam
9. Function in the organisation / profession:
a
10. Contact e-mail:
nam@gmail.com
11. Contact e-mail again for verification:
nam@gmail.com
12. Name and address to be mentioned on the invoice:
a
13. Special diet?:
No
13.a. If you have a special diet, please indicate which one::
13.b. If you have special requirements, please mention them here.:
14. Date of arrival:
10/1/1996
15. Date of departure:
16. I want to stay:
2 nights in a single room for € 470
17. I want the organisers to know that ...:
http://www307.regione.toscana.it/web/chaobacsi/
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/dia-chi-cat-bao-quy-dau-o-dau-tai-ha-noi-tot-nhat
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/chi-phi-cat-bao-quy-dau-het-bao-nhieu-tien-bang-gia
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/nhung-cach-chua-benh-sui-mao-ga-hieu-qua-nhat-hien-nay
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/chi-phi-chua-benh-sui-mao-ga-het-bao-nhieu-tien
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/cac-phong-kham-nam-khoa-uy-tin-tai-ha-noi-tot-nhat
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/cac-benh-phu-khoa-thuong-gap-o-chi-em-phu-nu
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/bi-rong-kinh-la-gi-nguyen-nhan-tac-hai-dau-hieu-cach-chua
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/benh-viem-am-dao-la-gi-nguyen-nhan-dau-hieu-cach-chua
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/viem-lo-tuyen-co-tu-cung-la-gi-nguyen-nhan-dau-hieu-cach-chua-tri
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/buong-trung-da-nang-nguyen-nhan-dau-hieu-nhan-biet-va-cach-chua-tri
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/cach-chua-khi-hu-co-mui-hoi-tai-nha-hieu-qua
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/8-cach-chua-rong-kinh-keo-dai-hieu-qua-tai-nha
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/10-cach-giam-dau-bung-kinh-nhanh-chong-cho-chi-em-ngay-den-do
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/chi-phi-pha-thai-bang-thuoc-het-bao-nhieu-tien-bang-gia-
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/tu-van-cach-pha-thai-an-toan-nhat-hien-nay-ma-chi-em-quan-tam
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/kham-va-dieu-tri-xuat-tinh-som-o-dau-tot-nhat-tai-ha-noi
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/benh-liet-duong-la-gi-nguyen-nhan-va-dau-hieu-cach-chua-liet-duong
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/benh-roi-loan-cuong-duong-la-gi-nguyen-nhan-va-trieu-chung
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/viem-duong-tiet-nieu-nguyen-nhan-trieu-chung-cach-chua
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/benh-viem-tuyen-tien-liet-la-gi-trieu-chung-cach-chua-va-phong-tranh
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/phuong-phap-dot-sui-mao-ga-va-o-dau-va-bao-nhieu-nhieu-tien-khi-nao-khoi
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/chi-phi-chua-benh-tri-het-bao-nhieu-tien
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/cach-chua-benh-hoi-nach-vinh-vien-triet-de-tai-nha-video-huong-dan-?
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/chi-phi-phau-thuat-cat-tuyen-mo-hoi-nach-het-bao-nhieu-tien
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/chi-phi-kham-phu-khoa-het-bao-nhieu-tien-o-thai-ha
http://www307.regione.toscana.it/web/chaobacsi/home/-/blogs/cac-benh-vien-kham-ngoai-gio-hanh-chinh-hieu-qua-tai-ha-noi
18. I confirm my registration. (Go to the top and press Save and close):
Yes
 
Created at 10/8/2020 5:56 AM by ***
Last modified at 10/8/2020 5:56 AM by ***