Participant Surname First Name Second Name E-mail I might attend, I am not sure yet I will attend for days Arrival date (first accommodation day 21.01.07) Departure date (last accommodation day 26.01.07) I need an official invitation letter If yes, please, provide your mailing address I need support for my travel expenses No Yes registration fee No Yes (to be covered for Russian participants) I would like to give a talk on (To be accepted by the Board of Advisors. The decision will be taken at the end of December 2006) Accompanying Person(s) Name(s) Those who need a visa, please, provide following information Date, month and year of birth Place of birth Sex male female Citizenship Passport No. Date, month and year of issue Date, month and year of expiration Place of work Position Home Institute address Tel. Fax Place of applying for the visa (country and city in which the Russian Consulate is available) Desirable duration of stay in Russia: from till Passport copy (signature pages). You can send it by fax +7 496 21 65891 (+7 496 21 65084) or e-mail a JPG file to Valentina Novikova valentina@jinr.ru Please be advised, that your passport must be valid 6 months after the date of visa expiration. The requested info should be sent by December 15, 2006.