23rd – 27th October 2014, Niš, Serbia
Faculty of Sciences and Mathematics /
REGISTRATION FORM
Please complete this form and return it by e-mail to:
dr Tatjana Andjelkovic
University of Niš, Faculty of Sciences and Mathematics, Department of Chemistry
Višegradska 33, 18000 Niš, Serbia
Tel. (+381) 18 533 014 Fax (+381) 533 014 e-mail:
Surname: Name: ______
University/Company:
Zip ______City ______State: ______
Tel: ______Fax: ______E-mail:______
Registration fees
Registration covers course and laboratory activities in 4 days, printed material, refreshments, coctail and excursion.
Amount
to be paid
q before 1st October Euro 150 (16 000,00 din) Euro/din______
q after 1st October Euro 250 (27 000,00 din) Euro/din______
The payment for registration fee in dinar currency should be made:
to the account number: 840-1789666-80 poziv na broj 2549228 with a note: “kotizacija za 9. školu MS”.
The payment for registration fee in euro currency for foreign participants should be made:
in cash after arrival to the Faculty of Sciences and Mathematics at the registration desk.
The Deadline for registration is 1st October 2014.
The receipt should be addressed to:
Date ______Signature ______