Please fill all the mandatory fields *

(including the anti-spam)

1. Personal Informations

Conference:	Superlattices, Nanostructures and Nanodevices (July 03-08, 2022)
Form of address *	Mr       Ms       Mx
Family Name: *
First Name: *
E-mail: *

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2. Hotel Reservation
reminder: hotel reservation is made exclusively by the conference secretariat
and for the whole duration, i.e from Sunday July 03 noon, to Saturday July 09 afternoon

Date of Check-in: *
Date of Check-out: *
Type of room :	? Single Double shared with participant Double shared with my spouse/partner
Twin room to be shared with:
If you have special food requests, please mention it	? No special request Vegan meals Vegetarian meals (fish accepted)

Will you be accompanied : 

by your spouse/partner?		No No Yes
Spouse/Partner Name:
Spouse/Partner First Name:
Spouse/Partner Gender:		? M F
Spouse/Partner date of birth:
Spouse/Partner Nationality:
type of bed		Twin beds Twin beds Couple bed
by your children?		0 0 1 2 3
Child 1	Name:
First Name:
Date of birth:
Child 2	Name:
First Name:
Date of birth:
Child 3	Name:
First Name:
Date of birth:

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3. Remarks

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Anti-Spam: * please input the result of 111+222

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