Registration Form II meeting UMI for Doctoral Students Naples, June 13-14, 2024 II meeting UMI for Doctoral Students Naples, June 13-14, 2024 "*" indicates required fields PERSONAL DATAFirst Name and Last Name* First Name Last Name E-mail address* Insert e-mail address Confirm e-mail address Address* Address Line 1 Address Line 2 City Province ZIP Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Do you have an Italian "Codice Fiscale"?* Yes No Codice Fiscale* SSN / NIN / Your Identity Code* Affiliation* PositionTenured or Tenure Track ProfessorPh.D. Student/ Post Doc/ Research FellowUndergraduateOtherSpecify "Other" ATTENDANCEI need an attendance certificate Yes No Days of attendance* June 13 June 14 I confirm my attendance for the free lunch on Day June 13? Yes, I will gladly attend! No, I’m sorry, I won’t be able to make it. Special requirements(for example: Food Allergies and Dietary Restrictions) I confirm my attendance for the free lunch on Day June 14? Yes, I will gladly attend! No. I’m sorry, I won’t be able to make it. Special requirements(for example: Food Allergies and Dietary Restrictions) Are you planning to give a talk? Yes No Upload abstractThe abstract needs to describe your communication at the conference, NOT all results of your Ph.D. thesisAccepted file types: pdf, Max. file size: 100 MB.SOCIAL EVENTSAre you planning to attend the theatrical performance by URA Teatro titled 'Verba manent. Canto per Ennio De Giorgi' on June 13 yes no Is your partner planning to join this social event? yes no PAYMENT OF THE REGISTRATION FEECategories* registration fee Total I want to pay with PayPal SatisPay Bonifico Bancario PayPalPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Additional notes or special requirements Privacy I agree to the UMI Events Privacy PolicyConsent List of participantsI agree to include my data (Name, Last Name and Affiliation) in the list of participants of the AMS-UMI Meeting, which will be published on the web site https://umi.dm.unibo.it/jm-umi-ams/participants/CAPTCHA