REGISTRATION FORM PARTICIPANT SURNAME (Prof/Dr/Mr/Mrs)........................................... FIRST NAME......................................................... SECOND NAME........................................................ INSTITUTION........................................................ POSITION........................................................... MAILING ADDRESS.................................................... POSTAL CODE........................................................ CITY............................................................... TEL(office)........................................................ FAX................................................................ E-mail............................................................. I plan to contribute a paper:(yes/no).............................. Contribution title................................................. ................................................................... The dead-line of annotation is June 15 ACCOMPANYING PERSON(S) (under 16) NAME(S).............................................................. ................................................................... INFORMATION FOR THE VISA BIRTHDATE.......................................................... CITIZENSHIP........................................................ SEX................................................................ PASSPORT NUMBER.................................................... PASSPORT VALID UNTIL............................................... TOWN YOU INTEND TO GET YOUR VISA IN RUSSIAN CONSULATE ................................................................... ITINERARY inside Russia ........................................... Preliminary arrival date........................................... Preliminary departure date......................................... ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- The Registration Form, duly filled up, has to be sent before June 1, 1997 to: Mrs. V. K. Novikova Symposium Coordinator, International Department, Joint Institute for Nuclear Research, 141980 Dubna, Moscow region, Russia Phone: 7-09621-65170 Telex: 911621 DUBNA SU Fax: 7-09621-65891 E-mail: novikova@cv.jinr.dubna.su