- Your personal full name -
- Country & City -
- Address -
- Nationality -
- E-mail -
- Telephone number -
- Institution or Organization -
- Academic degree and/or Position -
- Presented a paper - YES or NO
- Title of the paper -
- What number of Forum Topics your paper concerns -
- Membership in WPF "DIALECTIC" organization - YES or NO
- What is your sequence number as a Citizen of the Earth-XXI -
- If you still don't have it, do you wish to become a Citizen of the Earth-XXI - YES or NO
if YES
- Any comments or request to the Forum Organizing committee -
- Enclose your small photo (if you like)
- If an official personal invitation is needed for you, please, mention it here -
- If you need an application to the Greek Consulate to obtain visa to Greece, then, please, state the number of your passport and date of your birth -
Write all the above information details here: