Application Form - Black Sea Universities Network

Application Form
International Summer School on:
Virtual Engineering Software Solutions for Space Applications as Nano-Labs &
Nano-Sats using the PTC ThingWorx Platform
VESPER
– A Hack-a-Thon Event –
September 5th – 16th 2016, Constantza, Romania
Name:
Gender:
Organization/
Faculty/Department:
Position:
Address:
Phone/Fax:
E-mail:
I shall arrive on:
I shall depart on:
Observations:
Short CV:
Max 1000 characters
Registration fee:
100 € Participation fee
(without including accommodation and meals)
200 lei (~45 €) accommodation and breakfast in a single room
per night at Hotel Aurora, Mamaia Resort
264 lei (~60 €) accommodation and breakfast in a double
per night room at Hotel Aurora, Mamaia Resort
Date:
Signature: _________________
For a limited number of participants the organizers could assure a limited number of partial grants by
waiving the registration fee, assuring free accommodation and a very limited number of international
fares.
Would you like to apply for a partial grant?
Yes
If yes, please provide a letter of interest and a recommendation letter from one of your professors from
the university.
This application form needs to be sent before 1st June 2016, by fax, e-mail or mail post to
Black Sea Universities Network, “Ovidius” University of Constantza, Address: 124,
Mamaia Avenue, 900527 Constantza, Romania, Phone: +40 241 606462, Fax: +40 241
606462, E-mail: [email protected] Contact person: Claudiu FERCU