INDIA-JINR FORUM 2014. General Info

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Please fill in the form. The fields marked by * are obligatory. If you need russian visa, after registration please send a scanned copy of the relevant first page(s) of your passport and passport(s) of accompanying person(s) to e-mail: if2014@theor.jinr.ru.

Participation by invitation only. Local expenses (accommodation (breakfast & lunch included), transportation from Moscow airports to Dubna and back, welcome party & conference dinner, conference fee) will be covered by organizers.

Participant

Title:

Surname*:

First name*:

Second name*:

If one does not have second name, please put the sign ' - ' in this field.

Sex: male female

Affiliation*:

Position:

Mailing addresses*:

Postal code*:

City*:

Country*:

Phone (office):

Fax:

E-mail*:

Contribution

JINR Laboratory of your primary interest: Bogoliubov LTP
Dzhelepov LNP
Flerov LNR
Frank LNP
LIT
LRB
Veksler and Baldin LHEP

Topic:

Title of contribution:

Preliminary arrival date:

Preliminary departure date:
Food preferance

Accompanying person

Surname:

First name:

Sex: male female

Food preferance

Title:
Surname*:
First name*:
Second name*:
If one does not have second name, please put the sign ' - ' in this field.
Sex:	male female
Affiliation*:
Position:
Mailing addresses*:
Postal code*:
City*:
Country*:
Phone (office):
Fax:
E-mail*:
Contribution
JINR Laboratory of your primary interest:	Bogoliubov LTP Dzhelepov LNP Flerov LNR Frank LNP LIT LRB Veksler and Baldin LHEP
Topic:
Title of contribution:
Preliminary arrival date:
Preliminary departure date:
Food preferance