title




Announcement

Registration Form


REGISTRATION FORM

The fields marked with * are obligatory

I plan to attend XVI Petrov School (Kazan, Russia, June 22 - July 3, 2004)

* Full name:

Male       Female

* Country:

* Institution:

* Address:

* E-mail:
Fax:
 * Phone:

Number and names of accompanying persons:

Expected (day and time) arriving Kazan:

Date:
Time:

Expected (day and time) leaving Kazan:

Date:
Time:

Kazan airport Kazan Railway Station

Type of contribution (brief report, lecture, etc.):

Title of report:

FOR THE OFFICIAL INVITATION (TO GET VISA)

* Date and Place of Birth:

* Passport number:

* Expiration date:

Where will you apply for visa?
country: city:

ADDITIONAL INFORMATION

* Scientific degree:

Field of research:

Total number of papers:

Please, indicate numbers of your grants (INTAS and others):

Main publications:

1.
2.
3.

LATEX files (preferable win, koi8):

Abstract:

Main contribution:

     

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