REGISTRATION AND ACCOMMODATION FORM

                       XIth OPORTO MEETING
                               on
                 GEOMETRY, TOPOLOGY and PHYSICS

          Faculdade de Ciencias, Universidade do Porto
                            PORTUGAL

                       July 12-15, 2002





          IF YOU WISH TO PARTICIPATE PLEASE FILL IN AND RETURN
           THE FORM BELOW NOT LATER THAN APRIL 30th, 2002

                 SEND BY EMAIL TO: jntavar@fc.up.pt




NAME:

AFFILIATION:

ADDRESS FOR CORRESPONDENCE:


E-mail ADDRESS:


PHONE:


FAX:


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 LETTER ON YOUR BEHALF IF NEEDED:



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, PLEASE SEND US THE TITLE and a SHORT ABSTRACT
(preferably with a list of references):


PLEASE INDICATE THE DAYS FOR WHICH YOU NEED HOTEL RESERVATION:

ARRIVAL DATE:
DEPARTURE DATE:

ACCOMPANYING PERSON(S):


TYPE OF ACCOMMODATION
(SINGLE, DOUBLE, SHARED DOUBLE):

IF YOU REQUIRE PARTIAL FINANCIAL SUPPORT IN ORDER TO ATTEND, PLEASE
EXPLAIN YOUR SITUATION.
(PLEASE NOTE THAT, DUE TO THE TIGHT BUDGET, AT BEST PARTIAL SUPPORT CAN BE
GIVEN TO A RESTRICTED NUMBER OF PARTICIPANTS. PREFERENCE WILL BE GIVEN TO
STUDENTS RESIDENT IN PORTUGAL.):





   SEND THIS FORM BY EMAIL TO:     jntavar@fc.up.pt
                 (DEADLINE:  APRIL 30th)