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  	                 The XV-th International Conference
                  "Differential Geometry and Dynamical Systems"
                                 (DGDS-2021)
                   
                 ONLINE * 26-29 August 2021 * [Bucharest, Romania]


		          Pre-Registration Form

     = to be sent before 24 August 2021 by email to: vladimir.balan@upb.ro =


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

 2*. 
 Preferred presentation time
   Day (26-29 August):
   Time of day (am/pm):
 Presentation software (Zoom, MS.Teams, Google):

 3*.
 Title (tentative):
 Authors:
 Short abstract:

 4.
 Address:
 Web-page:
 Phone:
 Fax:

 5.
 Comments, special requests:

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