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		                    Pre-Registration Form
					     for
   The XII-th International Conference "Differential Geometry and Dynamical Systems"
                30 August - 2 September 2018, Mangalia, Romania

      (to be sent before August 25, 2018 by email to: vladimir.balan@upb.ro)


 1*.
 Name and Surname:
 Affiliation:
 e-mail:

 2*.
 Title (tentative):
 Authors:
 Short abstract:

 3.
 Address:
 Web-page:
 Phone:
 Fax:

 4.
 Comments, special requests:

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