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Registration form
Globální problémy veřejného zdravotnictví 2025
Payment information
Account number
931761/0710
IBAN:
CZ65 0710 0000 0000 0093 1761
SWIFT:
CNBACZPP
Variable symbol
114238
Amount
1200 CZK
Payment methods
Payment by bank transfer
Yes
Allowed card payment
Yes
Payment by Flywire
No
Validity
07.10.2024 - 04.02.2025
Participant - email
(*)
Participant - name
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Participant - surname
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Participant - title before
(*)
Participant - title after
(*)
Organization name(according to ARES)
(*)
ID of company
(*)
Tax registration number
(*)
Headquarters - Street
(*)
Organization headquarters - place number
(*)
Organization headquarters - locality
(*)
Headquarters - ZIP
(*)
Participation type (1-active, 2-passive with contribution, 3 passive without contribution)
(*)
Participant - telephone
(*)
(*)
- Required field.
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