REGISTRATION FORM
(*) After October 28th 2002, Applications can only be accepted
provided you do your own Travel arrangements and Hotel bookings!
| Personal data | ||
| Name: | *Edit here | |
| Date of Birth | * | Nationality: * |
| Permanent Institution Address: | * | |
| University & Department | * | |
| E-Mail: | * | |
| Phone: | * | FAX number: * |
| Accomodation | ||
| (*) Hotel in which you have make your own reservations | * | |
| Contribution (30-45 minutes + 15 minutes for discussion) | ||
| Talk/Seminar Title: | * | |
Pls edit this registration form in Word or HTML or PDF, etc using any composer/editor, fill in your data and send it via e-mail as attachment to: canessae@ictp.trieste.it