Registration and Visa Information


Prof. Dr. Mr. Ms. or
Surname:
Name(s):
Date, month and year of birth:
Place of birth:
Sex:
Citizenship:
Residence (country):
Passport number:
Date, month and year of issue:
Date, month and year of expiry:
Employer (full name of the Institution):
Position:
Home Institute postal address*:
Phone (office):
FAX:
E-mail:
(* or your home postal address to which the original invitation will be sent to you)
I plan to contribute a paper:
Contribution title:
Abstract:

Desirable duration of stay in Russian Federation (from ... to...) :
From (preliminary arrival date):
To (preliminary departure date):
Cities in Russia one plans to visit:
Place of applying for the visa (city):


To arrange a visa support letter you are kindly requested to send secretary of the Woprkshop by e-mail Elena Russakovich rusakovich AT jinr.ru
A COPY OF YOUR PASSPORT (the main page with a photo) scanned in jpg format (preferably) or by fax +7 496 21 65891 or 65992 to Elena Russakovich


Accompanying Person(s)
Name(s) and year of birth:


Accommodation
I take care of the accommodation by myself
Single room in block, 1410,- rub/ night
Single room, 2580,- rub/ night
Single room, 2030,- rub/ night
Double room in block, 1160,- rub/bed/night
Two-room apartment, 3830,- rub/ night
Two-room apartment, 4790,- rub/ night



I would like to draw attention of the Local Organizing Committee
to the following Requirements and/or Comments:



Last modified: Jan 04, 2015 by Elena Kolganova