Application form

Last name:
First name:
Middle names:
The names should be typed exactly as in your passport. No abbreviations are valid. This is important for visa application.
Title (Prof/Dr/Mr/Mrs):
Sex:	Male / Female
Institution:
Position in home institute:
Mailing address:
Phone (office):
Fax (office):
E-mail:
I would like to participate in the Conference (Section ) and give a talk (Check if yes) with the title: Abstract (1/2 page): The Section II participants are invited to take part in the open tennis championship of Frank Laboratory of Neutron Physics "FLNP-OPEN" on June 12, 2003. Please, check if you plan to participate in it: I need an entry visa . PERSONAL DATA FOR VISA Non-residents who need a Russian entry visa should supply personal data. This information goes to the Department of Consular Service at the Ministry of Foreign Affairs in Moscow a month and a half prior to the Conference. A month before the Conference, each participant will be informed of the PERMISSION NUMBER, otherwise their documents will not be accepted by the Department of Consular Service. A copy of passport should also be send by fax to T.S.Donskova. (See Contact Information) .
Birthdate:
Citizenship:
Passport number:
Passport valid until:
In which town do you intend to get your visa to entry Russia?
Itinerary inside Russia:
Preliminary arrival date:
Preliminary departure date:
Accompanying person(s) (under 18): IMPORTANT! Please, specify full names and dates of birth for each person. Otherwise, the data will not be accepted by the Department of Consular Service.

PLEASE, CHECK YOUR DATA BEFORE SUBMITTING.
BE SURE YOUR E-MAIL IS TYPED CORRECTLY.