International Research Interdisciplinary School IRIS Kazakhstan 2017 September 18-22, 2017, Bal Qaragai, Astana (Kazakhstan) Application Form Your Details Date and Venue Surname: The 4-day workshop will be held from First Name: September 18 to 22, 2017 (arrival Title / Position: September 18, departure September Institution/organization: 23) in Bal Qaragai, about 20 km east from Astana. Address: Payment by Bank Transfer Kazkommertsbank, City: Almaty, Kazakhstan State: Country: SWIFT: KZKO KZ KX Zip/postal code: CORR/ACC №400/8866048/01EUR Phone: «Commerzbank AG», Fax: Frankfurt, Germany E-mail: SWIFT: COBA DE FF Payment Subject: IRIS 2017 Fee: Euro 200 (covers accommodation, full board, program) Contact: Dr. Ayan Abdrakhmanov Please, transfer the payment to the Ayan account by May 1, 38, Turan Ave, (Astana) - Kazakhstan T +77015360032 2017 e-mail: ayan-3@mail.ru Dr. Yersin Zhunussov 66, Koshkarbayeva Ave, (Astana) - Signature: Date: Kazakhstan T +77021916747 e-mail: ersin-surgery@mail.ru
International Research Interdisciplinary School IRIS Kazakhstan 2017 September 18-22, 2017, Bal Qaragai, Astana (Kazakhstan) Application Form Your Details Date and Venue The 4-day workshop will be held from September 18 to 22, 2017 (arrival September 18, departure September 23) in Bal Qaragai, about 20 km east from Astana. Surname: First Name: Title / Position: Institution/organization: Address: Payment by Bank Transfer Kazkommertsbank, Almaty, Kazakhstan SWIFT: KZKO KZ KX CORR/ACC №400/8866048/01EUR «Commerzbank AG», Frankfurt, Germany SWIFT: COBA DE FF Subject: IRIS 2017 City: State: Country: Zip/postal code: Phone: Fax: E-mail: Payment Fee: Euro 200 (covers accommodation, full board, program) Contact: Dr. Ayan Abdrakhmanov 38, Turan Ave, (Astana) - Kazakhstan T +77015360032 e-mail: ayan-3@mail.ru Dr. Yersin Zhunussov 66, Koshkarbayeva Ave, (Astana) - Kazakhstan T +77021916747 e-mail: ersin-surgery@mail.ru Please, transfer the payment to the Ayan account by May 1, 2017 Signature: Date:
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