Student |
| Name Surname * |
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| Birth Date* |
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(Ex:30.12.1975) |
Education Information |
| University * |
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other:
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Faculty/Vocational High School/Institute * |
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| Department * |
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| Class* |
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Contact Information |
| Mail Address * |
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| Web Site Address |
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| Phone Number * |
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| Address * |
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| Interests |
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| Have you ever taken distance learning? * |
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| Which days are you going to join the conference?* |
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Payment Information |
| The students of Istanbul University and Istanbul Culture Universiy can blank the Recipt Date and Receipt Number fields |
Receipt Date * |
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(Ex:11.01.2010) |
Receipt Number |
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| Your Note |
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| Security Code * |
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Refresh
Write the characters which you see on picture, it is case-sensitive. |
The blanks marked with asterisk (*) must be filled. |
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for an exact registration student identity card has to be presented (shown)on the day of conference! |