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12 International Scientific Conference on Energy and Climate Change (Early) Registration Form Personal information Name: Title: Organizatio n: Position: Full Address (incl. postal code, city, country): Telephone: Fax: E-mail: URL: Registration categories (early registration) PhD students € 200 Participants (attendees/speakers) 300 Accompanying person € 100 Additional contribution Number of additional contributions: € 50 Method of payment I will pay the whole amount by bank transfer: Name: Special Account for Research Grants of the National and Kapodistrian University of Athens Bank: Alpha Bank Branch: Korai 554 Address: Korai 1 & Stadiou str., 105 64 Athens Greece Account No: 80 200 200 1000 227 IBAN: GR03 0140 8020 8020 0200 1000 227 BIC: CRBAGRAA Beneficiary: NKUA/SARG I will pay 50% by bank transfer to the above account and 50% by cash upon registration UNAI Hub forSDG 7 GEN Green Energy N etw ork BSEC

Black Sea Energy Policy Conference€¦  · Web viewEnergy Policy and Development Centre (KEPA) National and Kapodistrian University of Athens. Panepistimiopolis, KEPA Building

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Page 1: Black Sea Energy Policy Conference€¦  · Web viewEnergy Policy and Development Centre (KEPA) National and Kapodistrian University of Athens. Panepistimiopolis, KEPA Building

12th International Scientific Conferenceon Energy and Climate Change

(Early) Registration Form

Personal information

Name: Title:

Organization:

Position:

Full Address(incl. postal code, city, country):

Telephone: Fax:

E-mail: URL:

Registration categories (early registration)

PhD students € 200

Participants (attendees/speakers) € 300

Accompanying person € 100

Additional contribution Number of additional contributions: € 50

Method of payment

I will pay the whole amount by bank transfer:Name: Special Account for Research Grants of the National and Kapodistrian University of AthensBank: Alpha BankBranch: Korai 554Address: Korai 1 & Stadiou str., 105 64 Athens GreeceAccount No: 80 200 200 1000 227IBAN: GR03 0140 8020 8020 0200 1000 227BIC: CRBAGRAABeneficiary: NKUA/SARG

I will pay 50% by bank transfer to the above account and 50% by cash upon registration

I will need a simple receipt (provided by organizers during the Conference)

I will need an invoice with the following data (Name of person or Name of institute at which the invoice will be issued, full postal address, VAT number):

UNAI Hub for SDG 7

GEN Green

Energy Network

BSEC

Page 2: Black Sea Energy Policy Conference€¦  · Web viewEnergy Policy and Development Centre (KEPA) National and Kapodistrian University of Athens. Panepistimiopolis, KEPA Building

Accomodation

Please let us know at which hotel you will stay so that we organize better the social events of the Conference (there will be a list of proposed hotels at the web site of the event)

Participation in social events

Please let us know if you intend to participate in the scheduled social events of the Conference (free of additional charge)

YES NO

Please send the completed registration form along with: i) A copy of the bank receipt. For participants coming from countries with a monetary unit

other than Euro the bank receipt needs to show clearly the equivalence between the monetary unit of the country and Euro along with the whole amount that was paid in Euro.

ii) A stamped certification from the university stating that the participant is enrolled as PhD student, in case of requesting the relevant registration discount.

to the following address, fax or e-mails: Energy Policy and Development Centre (KEPA)National and Kapodistrian University of AthensPanepistimiopolis, KEPA Building157-84 Athens, Greece

Tel.: (+30) 210-7275732 – Fax: (+30) 210-7275828E-mail: [email protected] or [email protected]

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