IX WINTER SCHOOL 2011

Registration Form

Please, fill in the following form. Fields, marked with an asterisk ^*sign, are obligatory. After submitting your information you are to get an e-mail confirmation of accepting your registration. If you need visa then please proceed with visa application form also.

Surname:^*

First Name:^*

Second Name:

Institution:^*

Position:

Year

Mailing address:

Postal code:

City:^*

Country:^*

Phone (office):

Fax:

E-mail:^*

Name of a senior scientist able to give a recommendation

his/her e-mail

I apply for a travel grant

If 'yes' please estimate approximately your travel expences in rubles

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