Slovak University of Agriculture in Nitra
Faculty of Engineering

Details about Participant

First name: ……………................................................. Surname: ..........................................................................                      titles: ...........................
Accompanying person: …………………………………………………………………………………………………………………………………………..
university/Institution: ……….……………………………......................................................................................................  .................................................................................................................................................................................   
Street No.: ..............................................................................................................................................................
City: ...................................................................post-code: .................. Country: ....................................................
Land line Phone number: ................................  fax: ......................................  mobile phone number: .............................
e-mail: ..............................................................................

Authors and title of the paper

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 Accommodation

Accommodation for the night   25th/26th April: 	     	    YES             NO		

Food 

Dinner on 25th April 2017: common dinner will be part of the common programme with management of the Faculty.
Breakfast  	26th April 2017: 	   Yes            No
Lunch		26th April 2017: 		   Yes            No
Confirmation of attendance

Hereby I confirm that all details above are correct and that I do accept the general rules of the conference mentioned in the organizing instructions. 

Date: ................................                                                                                                             Signature: .............................................   
 
Organizer-ContacT

Ing. Martin Pšenka, Slovak University of Agriculture in Nitra, Faculty of Engineering
Trieda  A. Hlinku 2, 949 76 Nitra,  Slovak Republic, Phone number: +421  37 641 5677, +421 915 754 704
e-mail: psenka.martin@gmail.com
Send filled registration form by e-mail, please.