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Zinātniskais (akadēmiskais) grāds __________________________________ |
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Darba vieta, amats _______________________________________________ |
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Izvēlētā darba grupa______________________________________________ |
Referāta temats__________________________________________________ |
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Īsa referāta anotācija (apmēram 500 zīmes) ___________________________ |
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Adrese:__________________________________________________________ |
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Tālruņi:___________________________________________________________ |
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Fakss:____________________________________________________________
Elekroniskais pasts: ________________________________________________ |
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Vai vajadzīga vieta viesnīcā (norādīt iebraukšanas un izbraukšanas datumu)
Ir vajadzīga________
Nav vajadzīga ______
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