About the participant Last Name First Name Patronymic or middle Name Affiliation Position InstructorAssistant ProfessorAssociate ProfessorProfessorJunior Research FellowSenior Research FellowLeading Research FellowChair, Department of…DeanPost-graduate StudentStudentOther Scientific degree No degreePh.D.Ph.D. (Advanced Doctorate) Postal address Phone E-mail Participation distant (online) participation with a presentation and publicationdistant (online) participation without a presentation and publication The topic of the report Comments Consent to personal data processing* YESNO Statement of absence of conflict of interest** YESNO