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Name of event:  Ostrava v urgentní péči 2019 - studenti
Account number:  931761/0710
Variable symbol:  114215
Amount:  225 CZK  (Fixed amount)
Payment by card:  No
Validity:  10.01.2019 - 31.03.2019
Participant - email:   (*)
Participant - name:   (*)
Participant - surname:   (*)
Organization name(according to ARES):   (*)
Participant - faculty:   (*)
Participant - date of birth:   (*)
Participant - telephone:   (*)
(*) - Required field.