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     Sponsors:

University of Bialystok 

European Office of Aerospace Research and Development 

Ministry of Education and Science

International Association for the Promotion of Co-operation with Scientists from the New Independent States
GENERAL INFO
COMMITTEE
PROGRAMME
FEES
FINANCIAL SUPPORT
REGISTRATION
DEADLINES
ADDRESSES
GETTING HERE
17th SCHOOL
OUR INSTITUTE
E-MAIL
Organized by
the Institute of Experimental Physics, University of Bialystok




Registration Form

You can fill in the form below to pre-register for the school. Fields labelled blue are mandatory and you cannot leave them blank. Other fields are optional.
If you have any questions, please e-mail us at school@alpha.uwb.edu.pl


Personal information

Mr Ms  
First name:
Family name:
Title: Prof. Dr. PhD student Undergraduate
Institution:
Address:
City/code:
Country:  
  (Choose your country from list or type its name in the textfield)
E-mail address:
Telephone:
Fax:

I will be accompanied by...

First name:
Family name:

Preferences about room sharing

Single rooms will be available at the additional cost of 100 EUR (limited number available, booking and payment should be made before May 1st, 2006).

I wish a single room


Will you be contributing a poster or a talk?

I wish to present a poster
Tentative title:


I wish to present a talk
Tentative title:


Arrival and departure

Arrival date:Approx. time: Place:
Departure date:  
  


Please type any comments or additional information here:




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To clear this form, click here:
School logo Last modification: 06-03-02 13:38:34

© 2005 M.Biernacka


© 1998 M.P.

GENERAL INFO COMMITTEE PROGRAMME FEES FINANCIAL SUPPORT REGISTRATION DEADLINES ADDRESSES GETTING HERE 17th SCHOOL OUR INSTITUTE E-MAIL