Application form
6th Annual
international conference
Language and Communication
through Culture - 2011
First name ___________________________________________________
Middle name__________________________________________________
Surname _____________________________________________________
Academic status/title/position at work _______________________________
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Academic degree ______________________________________________
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Place of work (university, chair, department, …) ______________
_____________________________________________________________
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Postal address:
Work: ________________________________________________________
Phone: _________________________________________________________
E-mail _________________________________________________________
Paper title: ______________________________________________________
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_______________________________________________________________
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Form of paper presentation (panel, topic groups) _______________
Accomodation required (yes/no)_____________________________________