PARTICIPANT INFORMATIONTitleProf.Dr.M.Sc.First name *Last name *GenderMaleFemalePrefere not to sayInstitution *Address *City *Country *Email *GRANT FOR EARLY CAREER RESEARCHERSAs a Early Career Researcher, I apply for the grantRadioGrant A: funding covering half of the conference fee, the participant covers 310 EUR / 1300 PLNGrant B: funding covering full conference fee (priority to MSc and PhD students)CV/MOTIVATION STATEMENT(short bio and motivation - required), max. 1300 characters0 / 1300REGISTRATION FEE620 EUR / 2600 PLN – students/PhD students/PTGeol members*700 EUR / 2800 PLN – postdocs & professionals (academic staff)*800 EUR / 3200 PLN – professionals from industry**COLOS registration fee includes accommodation and catering during the 3rd COLOS (four nights, between 13 - 17 September at the hotel in Koło town), transfers to and from the core depository and training materials.PREFERENCES:I am vegetarianADDITIONAL COMMENTSMax. 250 characters0 / 250PAYMENT DETAILSBank transfer Beneficiary name: Polish Geological Society Beneficiary account EUR: PL 83102028920000510209114390 Beneficiary account PLN: 45 1020 2892 0000 5202 0181 6842 Beneficiary bank name: Powszechna Kasa Oszczednosci Bank Polski SA Beneficiary bank code (SWIFT): BPKOPLPW Participants are responsible to verify any potential need for a visa/travel permit to enter the territory of Poland. Letters of invitation/registration/participation can be requested from the Organizers when necessary.RESUMEEURSENDProszę nie wypełniać tego pola.
