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Proposal for a Poster Presentation to be made during
TOTeM(s) 19&20

Communication data
(Essential fields in bold)

Personal Data

Title: (Prof., Dr., Mr., others)
Initials:
First Name:
Family Name:

 Organisation Data

Company/Institute:
Division:

 Telecom Data

Tel. No. (direct):
Telefax No.:

Internet Addresses

E-Mail:
WWW site (URL):

 Mailing Address

P.O. Box No. / Street+No.:
Town / Code:
Country:

Abstract:

Special Presentation Requirements (e.g.: size of poster board, ...):

 

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