Registration & submission - Hornicko-geologická fakulta

First name*

Surname*

Title or position

Organisation name*

Street*

City*

Postal Code/Zip Code*

Country*

Organization ID*

Taxpayer ID (VAT number)

Telephone

Fax

E-mail*

Payment information

Bank account: Česká spořitelna, a.s., U Soudu str. no. 6198, Ostrava,
Bank name: Česká spořitelna, a.s.
Branch name: Česká spořitelna, a.s., Ostrava - Poruba (U Soudu)
Bank address: U Soudu str. no. 6198, Ostrava, Czech Republic
Beneficiary name/Note: "MSHS HGF VŠB-TU Ostrava"

account number (IBAN):	CZ27 0800 0000 0016 4678 1349
SWIFT CODE:	GIBACZPX
var. symbol:	35011
konst. symbol:	0558

Reservation*

Lunch (30. 5.)

Dinner, Evening Party (30. 5.)

Lunch (31. 5.)

Dinner, Evening party (31. 5.)

Whole day trip, Evening party (1. 6.)

Food

Common

Vegetarian

Other food restrictions

Conference fees (Registration desk May 30, 2019)*

A participant - (without an article) 350€

For authors (co-authors) with article 400€

For full time students (without an article) 300€

Accompanying person 250€

Exhibition 250€

Other

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Agree with processing personal data*

In line with the Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation) I hereby grant my permission to collect, store and process my personal data contained in this form to the administrator of VŠB - Technical University of Ostrava (VSB-TUO) and the Mining Society of Moravia and Silesia HGF VŠB-TU Ostrava (MSMS) for the purposes of organizing the EAMP conference and other events organized by VSB-TUO and MSMS. The permission is granted for all the data contained in this form for a non-limited period of time since granting. I am aware of the fact that I can withdraw this permission at any time via sending an email to vladimir.cablik@vsb.cz. I have read all the parts of the form, all the data are true and provided under free will. At the same time, I agree to being photographed during the conference and making the photographs public on the conference website or other printed materials published by VSB-TUO or MSMS.

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