4ème Colloque Franco-Roumain de Chimie Médicinale

Registration Form

Please complete the following application form to register for the 4^th French-Romanian Colloquium on Medicinal Chemistry. All fields are mandatory.

Prior to registration, please typeset your abstract using the recommended CoFr-RoCM template (Microsoft Word Template, 28KB).

Step 1/3. Personal and Contact Information

Salutation:

First Name:

Last Name:

E-mail Address

Affiliation type:

Affiliation & address:

Phone Number:

Step 2/3. Accomodation and Social events

Accommodation

Arrival date

Departure date

Hotel reservation

Preferred hotel

Accompanied?

Accompanied by:

Social events

Welcome party Conference excursion

Step 3/3. Abstract submission

Details of your contribution

Type of contribution

Title of contribution

Authors

(one author by line, followed by an Arabic numeral specifying the affiliation)

Affiliation(s)

for each author (one by line, preceded by the referred number above)

Available for oral communication

CoFRROCM Scientific Committee may select several posters to make the subject of oral communications. If your poster has been selected for oral communication, you will be announced by e-mail.

If your poster has been selected for oral communication, do you agree?

Abstract submission

All abstracts should be prepared in English using the conference abstract template (cofrrocm-2024-template.dot). Use of the provided typesetting guidelines is highly recommended as your abstract acceptance may depend on the successful processing of the uploaded document by our automated procedures.

Abstract upload: