Download the application form / doc

APPLICATION FORM

 

 

First name, family name: ……………………………………………….

Title/position: …………………………………………………………….

Name of institution: ……………………………………………………..

Department/Institute/others: ……………………………………………

Postal address including zip code: ……………………………………

…………………………………………………………………………….

…………………………………………………………………………….

E-mail address: …………………………………………………………

Phone: ……………………………………………………………………

 

I declare my participation in the International Scientific Workshops „Innovative Structural Systems in Architecture” (ISSA2016) organized by the Committee for Architecture and Town Planning of the Wrocław Branch of Polish Academy of Sciences, which will be held on November 3-5, 2016, in Wrocław.

 

 

 

 

Signature…………………………………………..

 

This form please send to: issa2016conference@wroclaw.pan.pl