Name/Surname*
|
|
Dorota Bociaga
|
Place of birth
|
|
Radomsko
|
Date of birth
|
|
31/01/1979
|
Fiscal Code (Italy or 000000 if foreigner)
|
|
non applicabile
|
Email
|
|
dorota.bociaga@p.lodz.pl
|
FISCAL DATA |
Name/Surname – Company
|
|
Dorota Bociaga, Lodz University of Technology, Institute of Materials Science and Engineering
|
Address
|
|
Stefanowskiego 1/15 Lodz, Lodz 90-537 Polonia Map It
|
VAT n. (only for company or University)
|
|
NIP 7270021895
|
Fiscal code (Italy of 000000 if foreigner)
|
|
REGON 000001583
|
Payment
|
|
Bonifico Bancario
|
Ordine
|
|
Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
Registration fee (social dinner not included)
|
1 |
490,00 € |
490,00 € |
Yes
|
1 |
80,00 € |
80,00 € |
|
Subtotale |
570,00 €
|
|
Totale |
570,00 € |
|
|