Zimanyi School 2021

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Name (title, first name, last name):

Email:

Talk title:

(if you would like to present a poster, please indicate it by writing "(poster)" at the end of the title)

Topic:

Institute:

City:

Country:

Plan to participate locally:

Will attend conference dinner:

Local/remote participation, accommodation:

Days of availability (for scheduling your talk):

Monday, December 06

Tuesday, December 07

Wednesday, December 08

Thursday, December 09

Friday, December 10

Student:

Conference fee payment method:

	I pay my registration fee by bank transfer in advance.
	My grant is handled by Wigner, so I will authorize Szilvia Bartalos to transfer my registration fee from an internal account.
	I am a (B.Sc, M.Sc. or Ph.D) student, and I apply for a registration fee waiver (and will forward a recommendation from my supervisor).
	My registration fee has been waived by the Organizers in advance or I hereby apply for a waiver.

Other details: e.g. for the invoice, street address, VAT number

(if you need an invoice/receipt, this will be on it):

Code (from the figure below):

ZIMÁNYI SCHOOL 2021