DUBNA 2007

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).

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.