西宁国家植物园建设国际学术研讨会回执表.docx

西宁国家植物园建设国际学术研讨会 回执表 姓 名 性别 民族 工作单位 职 务 职称 通信地址 电子 联系电话 代订住宿 邮件 是 □ 否 □ 商务标间（） 行政套间（） Registration Form Last name: First / Middle name(s): Gender: Nationality: Date of birth (DD/MM/YY): Job title: Department: Organization: Email address: Booking accommodation yes □ Twin Room□ Single room□ Please attach your passport copy with this form Passport number and send them to us Please fill in the form to register your participation and submit by 13th Oct 2023 to: Fang WANG or Jiao MO at wangfang@nwipb.cas.cn mojiao@nwipb.cas.cn