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Invoice To: * Institution
Private
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Additional Payments: *
- Social Dinner 1 person (60€): No Yes
- Social Dinner 2 persons (120€): No Yes
Institution
Institution: *
Department:
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Institution Postal/Zip Code: *
Institution Country: *
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Institution Office Code: *
Split Payment: * No Yes
Private
Home Address: *
Home City: *
Home Postal/Zip Code: *
Home Country: *
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Contacts
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Phone:
Other information
 
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** Student registration requires a valid student ID-card. Please send your student ID-card to the mail address simona.loffredo@cnit.it.
Please use the following subject for the email:
[MedCom2023 student] your_surname, your_name