APPLICATION FORM AND ACCOMMODATION FORM
IF YOU WISH TO PARTICIPATE PLEASE FILL IN AND RETURN THE FORM BELOW (PREFERABLY BY EMAIL, OTHERWISE BY FAX OR MAIL) NOT LATER THAN MAY 16
to
Prof. João Nuno Tavares
VII OPORTO MEETING on GEOMETRY, TOPOLOGY and PHYSICS
Grupo de Matemática Pura
Faculdade de Ciências da Universidade do Porto
Praça Gomes Teixeira
4050 PORTO PORTUGAL
Fax: + 351-2-2008628
email: jntavar@fc.up.pt
Name:
Institute Address (full mailing address):
E-mail Address:
Phone:
Fax:
Please indicate the days for which you
need hotel reservation in Oporto
(you are advised to make your flight reservations as soon as possible).
Arrival date:
Departure date:
Accompanying persons/type of accommodation (single, double, shared double; single room: 5000$00, double room: 6800$00, shared double room: 3400$00):
Do you wish to give a seminar (please note that it may be impossible to arrange a slot for everyone due to the tight schedule)?
If yes, title:
If you are a graduate student or recent PhD please indicate your main research interests and the name of someone willing to send a recommendation on your behalf:
If you require full or partial financial support in order to attend, please explain your situation (Please note that it is quite likely that no such support will be available):