GEOPLIMERI CONVEGNO Application Form

Welcome to GEOTNET. We are very excited to hear that you are interested in participating in our program and sharing this experience with us. Please read this application carefully. Make sure the information you provide is complete and accurate. Also, please do not leave any blanks.

You will need to submit your abstract completely by 25th JAN 2023 at 11:59 pm.

The Abstract must be drawn up on this the appropriate form Abstract Template which can also be downloaded from the website.

If you want to send more abstracts, you can repeat this procedure as many times as you want.

If you have any questions/problems, please feel free to contact us at geopolimeribari2023@gmail.com
Full Name

First NameMiddle NameLast Name
Are you already a member of the Italian GEOPOLYMERS group ?
Does it require a certificate of attendance ?
What will be the mode of participation? (In attendance/ONLINE)
Did you submit a contribution Abstract ?
Will you attend the evening event??
- Title
- Gender
- Birth day date
  
  MeseGiornoAnno
  Data
- Phone Number
  
  Area CodePhone Number
- Affiliation
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Special Request
- E-mail
  esempio@esempio.com
- The Abstract must be drawn up on this the appropriate form Abstract Template which can also be downloaded from the website.
  
  Please, notice that we ask you to send all the documents in good quality. The limit size per file is 200MB.
  
  Please select your preference and attach your Abstract.
  
  Recommendation
  With this upload you authorize us to publish the outcomes according to the rules of conduct and according to the rules of the summer school. The uploaded documents will be managed according to our PRIVACY POLICY.
- Preference
- UPLOAD YOUR ABSTRACT
  
  The Abstract must be drawn up on the appropriate form that can be downloaded from the website. Please not upload PDF. Only EDITABLE FILE ( doc, docx, xls, xlsx, csv, txt, rtf)
  Cancelof
- Is there any other information that you would like to share with us?
- Did you have any problem while filling out this form? If so, please report it below
- PLEASE CHECK
- You agree to submit your personal information to us, you understand that we will not use this information instead of and only for the purposes of the geotnet program? Also, please be assured that once you submit this application form, you will not be able to make any changes or remove any information. You confirm that you are submitting only truthful information, otherwise your application may be deleted and you will not be eligible for the geotnet program.
- I authorize the recipient of this letter to use and process my personal data for the purpose of managing the documentation of the Convegno Nazionale sui Geopolimeri. I confirm that I am informed of my rights under Article 7 of the above decree and under Legislative Decree 2018/101 and GDPR (EU Regulation 2016/679). I authorize the processing of my personal data pursuant to Legislative Decree 101/2018 and Article 13 GDPR (EU Regulation 2016/679) for the purpose of publishing the proceedings of the Geotnet.
- Should be Empty: