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FICHA DE INSCRIÇOM REGISTRATION

Nome Name Organizaçom Organization

_________________________________________ __________________________

e-mail

_______________________________
País Country Línguas Languages

____________________________ ________________________________________

Necessita alojamento? ______ Data de chegada_____________ Data de partida________________
Do you need accomodation? Date of arrival Date of departure

Proposta de debate/obradoiro/conferência
Proposals for debates/workshops/conferences

Título:__________________________________________________________________
Heading

Breve descriçom
Brief description

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Tempo necessário:________________________
Time needed

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