• Anasayfa
  • Favorilere Ekle
  • Site Haritası
  • https://www.facebook.com/anatolian.congress?fref=ts
Aktif Ziyaretçi1
Bugün Toplam16
Toplam Ziyaret137779
Main Menu-2019-November, 16-17

Registration Form (Kayıt Formu)



PLEASE CLICK ON THE BELOW REGISTRATION FORM TO DOWNLOAD WORD.DOC FORMAT OF THE REGISTRATION FORM TO FILL IN:

KAYIT FORMUNU İNDİRMEK İÇİN LÜTFEN AŞAĞIDAKİ KAYIT FORMU RESMİNE TIKLAYINIZ:





















www.twincongress2015.com

CONTACT: Dr. Ümit Sayin   humitsayin@gmail.com 
+ 90- 531 250 60 71

 

 

 

INTERNATIONAL ANATOLIAN CONGRESS ON NEUROSCIENCE & SEXUAL HEALTH-ISTANBUL-2019

www.twincongress2015.com  NO POSTERS- ONLY ORAL PRESENTATIONS, SHORT LECTURES OR PLENARY TALKS

CONGRESS PACKAGE-ENTRANCE FORM (should be filled during getting the congress package or before during registration)

LÜTFEN KONGRE KAYIT OLURKEN PAKETİNİ ve KONGRE ÇANTASINI ALIRKEN BU FORMU DOLDURUNUZ

Once Registered Person You Can Make Two Speeches or Oral Presentations at much----Kayıt olanlar en fazla 2 konuşma yapabilir

Title-Name & Last Name:

(isim soyad, titr)

 

If any, the title of the First Lecture:

(Varsa, yapacağı 1.konuşma başlığı)

 

If any, the title of the Second Lecture:

(Varsa, yapacağı 2.konuşma başlığı)

(optional)

 

 

Please attach a jpg picture of yours here

(Lütfen yaka kartları ve tanıtım posterleri için buraya bir jpg yüz resminizi koyunuz)

 

 

 

 


FACE

PHOTO

jpg

REGISTRATION (KAYIT DURUMU):

PAID AMOUNT: (ödenen miktar)

 

 

Payment Month (Ödeme Ayı):

 

 

HOTEL-ROOM (If staying):

 

 

REGISTERED BEFORE NOVEMBER

(Önceden Kayıtlı)

Please Check Here

APRIL

 

AFTER MAY-6

 

JUNE-SEPTEMBER

 

SEPTEMBER-NOVEMBER

ON SITE REGISTRATION (350 Avro)

Kongre Günü Kayıt

Please Check Here

 

Payment at registration desk (Amount)

 

 

E-mail:

Phone Number:

E-mail-1:

 

E-mail-2  

Tel (cellular phone):  

 

Instagram & Twitter

Facebook:

CATEGORY COLOR:

(Kategori Rengi) This will be filled by us

BİZİM TARAFIMIZDAN DOLDURULACAK

White

Beyaz

Committee

Black

Siyah

P. Speaker

Orange

Turuncu

First-60

Red

Kırmızı

EARLY

Blue

Mavi

Late

Green

Yeşil

Only-C

Yellow

Sarı

Accompany

(Spouse-EŞ)

Turkuaz

Special Guest

Purple

MOR

At Congress ON-SITE

SPEAKER-Oral Presentation

Y

N

Y

Y

Y

N

Y

N

Y

 

Y

N

Y

N

Y

N

N

N

Affiliation and University-Faculty:

(Bağlı bulunduğu üniversite vb.)

 

Occupation (Meslek)

 

CITY-COUNTRY:

EV İKAMET ADRESİ-POSTA ADRESİ (Postal-Snail Address)

 

Will you attend GALA NIGHT? (PAID) ÜCRETLİ (free for black category)

(November 16th 2019, Saturday)

(all alcoholic drinks are purchased, package does not  include drinks; tickets are sold) (GALA gecesine katılacak mısınız?)

Gala Night will be 60 Euros. If it will be in Hilton, alcoholic drinks not included ● If outside, alcoholic beverages included with limit

Are you a vegetarian:

Do you have food preferences?

Do you have allergies to certain food or drinks?

 

YES

 

NO

 

PAID (ÜCRETLİ) (free for black category)

Will you attend the Sight Seeing Tour on Monday?

18th  November-2019 Monday (Last Day) (İstanbul gezisine katılacak mısınız?)

Sight Seeing Tour is paid. The price will be known in November

It will be around 45-65 Euros

PLAN: 10-18; Breakfast in Kadıköy-A Tour at Kadıköy Bazaar (Çarşı)-Different Coffee Shops-LUNCH-Getting in Vans-Passing to European Side on Ferry-Sultan Ahmet-Mosques-Museums- Historical Places-Walking are tours-COVERED BAZAAR

 

YES

 

NO

Plan: Kadıköy’de kahvaltı-Kadıköy Çarşısı-Kahveciler-Alışveriş-Öğle Yemeği-Haremden Eminönüne geçiş-Sultan Ahmet-Camiler-Müzeler-Yürüme alanlarda geziler-KAPALIŞ ÇARŞI

Are you going to stay at Kozyatağı-Hilton Hotel? (Hilton’da mı kalacaksınız?) (free for black category)

 

YES

 

NO

Single Room (Special Rate): 115 Euros per night

Douple Room (Special Rate): 135 Euros per night

Guests and speakers can stay extra on those rates which are cheaper than the regular prices

If Staying at HILTON

(Hilton’da kalıyorsanız)

Check in Date (giriş tarihi):

Check out Date (çıkış tarihi):

Your other special wishes, demands and comments, please insert  (ÖNERİLER-ÖZEL İSTEKLER)

IMPORTANT NOTICE!

FOR Black Category Foreign Plenary Lecturers Gala Night, Sight Seeing Tour, Staying at Hilton (16, 17 Nov-2 nights) are FREE OF CHARGE, however they should pay for their extra alcoholic drinks and extra expenses  or extra staying other than 2 days

REGISTRATION FEES ARE NON-REFUNDABLE

IF YOU CHANGE YOUR PLAN AND SCHEDULE, FOR ANY CHANGE, PLEASE LET US KNOW IN ADVANCE

(Turkish Liras) IBAN

TR59 0006 4000 0011 0710 7746 92

ONLY TURKISH LIRAS (Sadece TL)

 

(EUROS) IBAN

TR55 0006 4000 0021 0710 5780 43

ONLY EUROS (Sadece AVRO)