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Name of event:  3. Setkání mladých anesteziologů - studenti
Account number:  931761/0710
Variable symbol:  114216
Amount:  100 CZK  (Fixed amount)
Allowed card payment:  No
Validity:  20.01.2019 - 29.03.2019
Participant - email:   (*)
Participant - name:   (*)
Participant - surname:   (*)
Organization name(according to ARES):   (*)
Organization headquarters - locality:   (*)
Participant - faculty:   (*)
Participant - date of birth:   (*)
Participant - telephone:   (*)
(*) - Required field.