- UNESCO Regional Bureau for Science in Europe -
- Georgian Academy of Sciences - Tbilisi State University -

Physics at the Future Colliders

September 29 - October 5, 2003, Tbilisi, Georgia

Registration Form

Deadline for submission: August 31, 2003
First Name:
Last Name:
Date of birth:
19 (e.g. 1978)
Sex:
Male Female
Country:
Academic qualification:
Name of your advisor (for Ph.D. students only):
Institution:
E-mail address:
If you wish to present a talk give a title:
If you wish to present a talk provide an abstract:
Arrival:
September 2003
Departure:
October 2003
Full address:
Indicate please:
a) you will participate at your own expense
b) you are requesting (partial) financial support
Any comments: