Registration - Smcbs'2023

Participant details

E-mail address *

Repeat e-mail address *

Phone number

Title

First name(s) *

Last name *

Gender *

Female

Male

Prefer not to say

Affiliation

University/Institution/Company name *

Address *

ZIP code *

City *

Country *

VAT number

Invoice

Invoice address *

The same as affiliation

Other

I don't need an invoice

University/Institution/Company name *

Address *

ZIP code *

City *

Country *

VAT number *

Registration details

Form of registration *

Type of registration fee *

Preferred form of presentation *

For young researchers fee payers only. I will share a room with

Abstract submission

In order to be accepted, abstract must be formatted in accordance with
the guidelines provided here. After accepting, it will be published as is without
any further editing.

Abstract title

Attach file

General information clause

General information clause document

zgoda 1 *

I agree to the processing of my personal data by the Institute of Physical Chemistry of the Polish Academy of Sciences with its registered office in Warsaw, NIP: 5250008755 ("Data Controller"), in order to enabling participation in the 11th International Workshop on Surface Modification for Chemical and Biochemical Sensing. *

zgoda 2 *

I have become acquainted with the content of the information clause, including information about the purpose and methods of processing my personal data and the right to access my data and the right to delete it, limit its processing and transfer. *

zgoda 3

I hereby give my consent to the processing of my personal data, i.e. my first name and surname and image in the form of a photograph of my person, including processing of my image by cropping and composition, for the purpose of posting my personal data, including my image, on the Data Controller’s publicly accessible website for the SMCBS'2023 conference purpose.

zgoda 4 *

I agree to inform me about the next editions of the International Workshop on Surface Modification for Chemical and Biochemical Sensing.*

* - required fields