ISTITUTO ITALIANO PER GLI STUDI FILOSOFICI
Diffiety School
Supported by the Department of Mathematics and Informatics of Salerno University
I would like to take part to the "Current Geometry"
Request of:
(!)
APPLICATION to Current Ceometry 2008 - with talk
APPLICATION to Current Geometry 2008 - without talk
First name:
(!)
Middle name:
Family name:
(!)
Achademic Title(s):
Gender:
Male
Female
Place of birth:
(!)
Date of birth:
Address, street:
Address, city:
Address, ZIP code:
Address, country:
Telephone number (with international prefix):
E-mail:
(!)
I need invitation for visa purposes:
(!)
Yes. Please send an invitation to the address below
No. I do not need any invitation.
Address for invitation (if different from the address given above):
Research Area:
Affiliation:
(!)
A guarantor's name
Check-in day
(!)
Check-out day
(!)
I will lodge
(!)
at hotel "Oriente" on my own charge
someplace else
Number of persons
(!)
1
2
I would like to take part to the excursion
Yes
No
Title of my talk (if any)
Abstract of my talk (if any)
Proposed duration of my talk (if any)
The idea
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