This document contains an application for participation in a conference to be submitted by May 10, 2016. It requests information about the participant's name, academic details, research interests, and a 500 character abstract in both English and another chosen language. It also provides banking details for foreign participants to pay the conference fee by May 19-20, 2016, noting to write the conference title and participant's last name for payment purpose.

1. Annex 1. PARTICIPAT’S APPLICATION
Please send the Participat’s Application until May 10, 2016.
Theme of the report (Ukr. / Pol.) ______________________________________________________________
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Theme of the report (Eng.)____________________________________________________
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Author (s)________________________________________________________________________________
Information about each of the authors:
Surname _________________________________ Name ________________________________________
Academic degree ___________________________________________________________________________
Institution________________________________________________________________
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Position __________________________________________
Country________________________________ City ____________________________________________
Correspondence address ____________________________________________________________________
Phone ___________________________________________________________________________________
E-mail____________________________________________________________________________________
Research interests (60 words) ________________________________________________________________
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Abstracts (500 symbols, prepared both in English and in the other chosen language).____________________________
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Details for payment:
Foreign participants should pay a conference fee during the symposium 19-20.05.2016 to account number
Receiver / Одержувач: НУ «Львівська політехніка»
ЄДРПОУ : 02071010
Р/рахунок : 31254250101057
Банк: ДКС України
МФО: 820172
Purpose of payment / Призначення платежу :
Міжнародний науково-практичний симпозіум «Арнольд Рерінг»
Прізвище ім’я по-батькові учасника _______________________________________________________
Attention!!! Make sure to write the conference title and last name of the participant.