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School Registration

Gran Sasso HANDS-ON 2023
PhD autumn school on experimental astroparticle phyics

September 25th, 2023 – October 6th, 2023

name

First Name *

Affiliation *

Last Name *

Gender *

M
F
Other
I don't want to mention

This information is needed only to assign a roommate in the hotel room

Do you have any preference for your roomate? *

yes
no

State the name of who you would like as a roommate *

First

Last

Please select the activities you would like to take part *

Visit to Underground Laboratory
Social Dinner
Mid-mountain hike
City Tour

You may select more than one option

Do you need a letter of invitation for visa procedures? *

yes
no

Further information

Please write here any dietary preference or restriction as well as any other information you think it may be useful for the organizers

INVOICE *

Personal invoice
Company/Institute invoice

Company/Institute name *

VAT ID *

Date of birth *

Tax code *

fiscal identification code / social security number

E-mail *

Email

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only for urgent issues

Fiscal address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Company/Institute Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country *

Is a Public Administration?

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no

"Codice Ufficio" *

Please insert the Univoque code of the amministration office

Conference Fee

Price: 1.000,00 €

tax included

Conference Fee

Price: 820,00 €

SPLIT PAYMENT - art.17ter DPR 663/72

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CREDIT CARD
BANK TRANSFER

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Bank transfer details: h-solution srl IBAN: IT88O0306940441100000010306 BIC/SWIFT CODE: BCITITMMXXX BANK NAME: INTESA SANPAOLO You have to send the transaction receipt to: reception@conferenceregistration.h-solution.eu or you can upload the receipt here

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Total

0,00 €

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