Registration form

advertisement

International Conference

Polonica in foreign institutions – research on the history of the Polish political emigration 1939-1990

Part 2

Warsaw, 20 – 22 April 2016

REGISTRATION FORM

1. Personal data

First name: .........................................................................................................................................................

Surname: ............................................................................................................................................................

Academic title: ...................................................................................................................................................

Institutional affiliation: ......................................................................................................................................

............................................................................................................................................................................

Mailing address: .................................................................................................................................................

............................................................................................................................................................................

Phone no.: .............................................................. Fax: ..................................................................................

E-mail: ...............................................................................................................................................................

2. Conference participation

I would like to attend the conference “Polonica in foreign institutions – research on the history of the Polish political emigrations 1939 -1990” (title) ……………………………………………………………………….

…………………………………………………………………………………………………………………..

Please enclose a short abstract of your paper (between 300-500 words) in Polish or English and a short CV of the author.

3. Additional information

............................................................................................................................................................................

............................................................................................................................................................................

Signature: .................................................................................. Date: ....................................................

Please send the form to: agnieszka.jedrzak@ipn.gov.pl

Download