The document is a registration form for an international scientific conference on ergonomics and its opportunities for new human jobs. The conference will take place on September 16, 2015 at Siedlce University of Natural Sciences and Humanities in Siedlce, Poland. The form requests the registrant's name, academic title, whether they will participate with a paper, the title of their presentation if applicable, the language of their paper, their place of employment, position, contact details, and faculty information.
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Registration form - ERGO WORK FINAL CONFERENCE
1. REGISTRATION FORM for
THE INTERNATIONAL SCIENTIFIC CONFERENCE
Ergonomics opportunity
for new human jobs
organized within the ERGO WORK Project funded by European Union
Siedlce University of Natural Sciences and Humanities (Main Library)
9, ks. Jerzego Popieuszki Street
08-110 SIEDLCE (Poland)
16th September 2015
Name and Surname: .
Academic Title/Degree: .
Participation with a paper
without a paper
The Title of Presentation: ..........
.
Language of the Paper English Polish
Place of Employment: .
Position: .
Mailing Address: .
.
.
e-mail: .
phone, fax: .
Faculty of Economic and Legal Sciences
17/19, 纏ytnia Street, 08-110 Siedlce (Poland)
Secretariat of the Conference:
Marzena W坦jcik-Augustyniak
phone: +48 604 253 198
e-mail: marwojaug@tlen.pl