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Form - application for NCBJ Patronage
Notes:
Fields marked with
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are required.
Applicant's details
Name and surname
Email address
Only emails ending with: ncbj.gov.pl, polatom.pl, ichtj.waw.pl and ifj.edu.pl are accepted.
Contact telephone number
Name of institution/organization
Institution address
Description of the event/project
Event date
Event location
Applicant's signature
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