Course start date *
Delegate surname *
Other names *
Date of birth *
Place of birth (Town or City) *
Citizenship *
Email *
Phone *
Special Food requirements (if any)
Religious needs (if any)
Physical or physiological inconveniencies (if any)
Do you need accommodation (booking a hotel)?
Type of accommodation preferred: Lux (80 EUR) Econom (35 Euro) (rates per night Tick the suitable option - to be paid by the participant)
Travel information (please, state estimated place, date and time of arrival)
Other issues (not mentioned above)
Date of filling *
Type the characters you see in the picture.
* If you have any difficulties to fill the form call us +38 050 672 76 85 or email: office@kmstc.org
