====== DUBNA 2007 ======
===== Registration =====
Please, spread this information as wide as possible.
First Name: _____________________
Second Name: ___________________
Family Name: ____________________
Affiliation: _______________________
Position: ________________________
Abstract (including the title and a list of authors but
without a list of references).
===== Visa support =====
The following data is required to arrange Russian visa support:
Family name:
First name(s):
Date, month and year of birth:
Place of birth:
Sex:
Citizenship:
passport No:
Date, month and year of issue:
Date, month and year of expiration:
Place of work:
Position:
Home Institute address:
Tel.:
Fax:
e-mail:
Accompanying person(s) (children under 16, if any, name and year of birth):
Desirable duration of stay in Russia:
From:
Till:
Cities one plans to visit in Russia:
Place of applying for the visa (country and city in which the Russian
Consulate is available):
Notes:
* Passport copy (signature pages). You can send it by fax 7 496 21 65145 or e-mail abogol at jinr.ru
* Residence permit copy (in case you are not a citizen of the country chosen for visa application )
* Please be advised, that your passport must be valid during 6 months after the date of visa expiration
* PLEASE CHECK: Visa should be valid both for Moscow and Dubna.