6th IFAC Symposium on Telematics Applications, TA'2022

TA'22 Registration Form

Personal Information

	Gender:	Mr   Ms
*	Last Name:
*	First Name:
	Title:	-- Professor Dr, Ass. Prof. Phd student Student
*	University/Enterprise:
	Department/Laboratory:
*	Address:
*	Postal code:
*	City:
*	Country:
	Phone:
	Fax:
*	Email:
	Dietary preferences:	Vegetarian   Vegan   Gluten-free

Registration Fees (€)

at

	Conference attendance:	On-site   Online
	Conference registration:	Full Rate   Student Rate

Number of papers to register:

0 1 2

*

Paper #1 submission number:

*

Paper #2 number:

*

Paper #3 number:

*

Paper #4 number:

Payment

	TOTAL:
	Type of Payment:	Bank transfert
	I certify that the billing elements above are correct.

The participant themselves must pay all banking charges.

Contact information

For questions on TA’22, please send an email to ta22-contact@univ-lorraine.fr