REGISTRATION FORM
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Dietary preferences (for Gala Dinner only)
meat
fish
vegan
gluten-free
Accompanying person
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No
Will the accompanying person attend gala dinner? If yes, please also select dietary preferences and additional gala dinner fee
Yes
No
Dietary preferences for accompanying person
meat
fish
vegan
gluten-free
Registration fees
Early registration (participation, conference materials, coffee breaks, Welcome Reception)
(2025-06-18 - 2025-07-30)
Regular attendee
1 200,00 PLN
Additional fees
Registration period
(2025-06-11 - 2025-08-15)
Additional fees
Gala dinner
400,00 PLN
Accompanying person Gala dinner
Check if You are bringing the accompanying person to Gala Dinner
400,00 PLN
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Virgin Islands, U.S.
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Recipient data same as payer data*
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Recipient name*
Recipient VAT Number*
Recipient address*
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Republic of Congo
Democratic Republic of Congo
Cook Islands
Costa Rica
Cote D`ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libia
Liechtenstein
Lithuania
Luxembourg
Macao
North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Polska
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Registration terms
I hereby consent to the processing of my personal data by Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Gronostajowa 7 street, Krakow, including first name, last name, email address, affiliation, submitted abstracts/presentations, for the following purposes:
* Organizing and conducting the XIIIth International Workshop on EPR in Biology and Medicine.
* Communication related to the Conference, including sending information about the program, logistics, and post-conference materials.
* Publishing conference materials (abstracts, presentations) on the Conference website or in post-conference publications.
Visuals & Photography: During the Conference, photographs and video recordings may be taken for promotional and documentation purposes. These visuals may be published on the Conference website, social media channels, and in future promotional materials. By attending the Conference, I consent to the use of my likeness in these visuals, unless I explicitly notify the organizers at eprworkshop@uj.edu.pl to opt-out.
This consent is voluntary, and I may withdraw it at any time by contacting eprworkshop@uj.edu.pl. Withdrawal of consent will not affect the lawfulness of processing based on consent before its withdrawal. Full information about the processing of my personal data is available in the privacy policy
here
.
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