Registration

Please complete the registration form:

Section
Cellular NeuroscienceDevelopmental NeuroscienceNeurorehabilitationNeurodynamicsArtificial intelligence and NeuroscienceSystem biology and age-related diseasesCognitive neuroscienceNeuromorphic and Neurohybrid Systems

First Name(s) (Given Name(s)) (as per passport)*

Last Name (Family Name)*

Patronymic (if any)

Gender*
MF

Date of Birth (dd.mm.yyyy)*

Affiliation / Employer*

Position*

Address*

Phone number*

Fax*

Email*

Do you need visa assistance?*
I do not need visaI'll get visa on my ownI need invitation for visa (you should fill out the form at http://conf.neuro.unn.ru/vnm-2018/travel-visas/visas/)

Name on badge*

Affiliation on badge*

Would you agree to make your electronic presentation available to other attendees?*
YesNo

Type of presentation*
Oral preferredOral/PosterPoster preferredInvited by Program CommitteeAccompanying person (please, indicate speaker)

Indicate speaker (if you choose "Accompanying person")

Presentation title*

Please, download your Abstract* (Max. 20Mb) (*.txt, *.rtf, *.doc, *.docx)

Please, download additional documents (archive) (Max. 20Mb) (*.rar, *.zip)

By submitting this form I accept the responsibility for the payment of the conference fee and for submitting the summary to the scientific secretary by July 1, 2018.