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Mr Ms

Civility (other):

Last name / Family name *

First Name *

Email *

Affiliation *

Address *

Billing address *

Use the same address

Phone (office) *

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The registration fee includes attendance to all social activities, welcome reception and gala dinner, coffee-breaks and lunches, documents of the conference. It includes also the membership to iDICs: Student US$ 10, Other US$ 100.

Will you attend the conference:

in distance in presence

Are you a student?

Yes

Registration to the "Workshop on uncertainties in DIC measurements" at Centrale Nantes on November 2nd.

Yes

Privacy Statement
In accordance with the French law on the Protection of Personal Data of 20 June 2018, you have the right to access and rectify your personal data by contacting VERT COM, 140bis rue de Rennes 75006 PARIS - France. You may also object to the use of this data by sending a simple letter to the above address.

I agree with the use and holding of my personal data connected to my participation at the PMIDICS2021 by VERT COM, 140 bis rue de Rennes 75006 PARIS - France, in accordance with the French law on the protection of personal data (Loi n° 2018-493). *

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