Form A IAEA-CN-182

International Atomic Energy Agency

Participation Form
International Symposium on Standards, Applications and Quality Assurance in Medical Radiation Dosimetry
Vienna, Austria 9-12 November 2010

To be sent to the competent official authority of the participants country (Ministry of Foreign Affairs or National Atomic Energy Authority) for subsequent transmission to the International Atomic Energy Agency (IAEA), VIC, Wagramer Strasse 5, P.O. Box 100, A-1400 Vienna, Austria (Fax: +43 1 26007)

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