Ms. Mr.
Family Name:

First Name:

Position:

University/Department:

Contact Address:

E-mail:

Fax:

Would you like to present a:
Contributed talk in a parallel session?
Poster?
(Please send an extended abstract by ordinary mail or by e-mail according to the previous rules)

Title of your contribution:

Research students:
Name and e-mail of advisor

Grants are available to young researchers whose contributed talk (or poster) has been accepted.

Regular participant
Participant from a Eastern European Country

Short CV (only if you apply for a Grant)

Accommodation

Single
Double
Shared
For a shared room indicate the person's name, if possible:

Arrival date:
Departure date: