ICUA – Registration form

    * First Name

    * Last Name

    * Postal address

    * Tax Identification Number

    * Academic Degree

    * Institution

    * Phone number

    * Email

    * Category

    Research area

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    Fees Payment by:

    •  Bank transfer to:

    IBAN: PT50 – 0033 – 0000 – 00008562288 – 05  

    Bank Name: Millenium BCP

    Swift code: BCOMPTPL

    Beneficiary: Universidade da Madeira

    Address: Colegio dos Jesuitas, Praça do Município  Funchal, Portugal

     

    Note:

    • In the field  Tax Identification Number, you can introduce VAT number or if not applicable, introduce “0”
    • Proof of payment should be send to insula3@mail.uma.pt
    • Any bank charges incurred are the responsibility of the participant.