To fully register, copy the form below into your email package, fill in the details and email it to Eckhard Hitzer, hitzer@mech.fukui-u.ac.jp

Please fill in the details below.

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Full registration for ITMga 2003, November 20-22, 2003 (date confirmed!),
Research Insitute for Mathematical Sciences, Kyoto, Japan



Pre Title [Dr. Prof. ...]


Given Name(s)


Family Name (Surname, Last Name)


Post Title [jr. em. ...]


Male / Female (delete as appropriate)


Nationality


Age


Institute


Institution at which employed (in full, including address)


Faculty and Department


Position


Full Postal Address for Correspondence







P.O. Box


City


ZIP code / State or Prefecture


Country


Work Phone


FAX


Email


Personal homepage URL


Do you want to attend the conference?

Yes / No (delete as appropriate)


Date of arrival in Kyoto(*)


Date of departure from Kyoto(*)


(*) Note that booking accommodation is the responsibility of the participants themselves. Check out the information/accommodation section of the homepage.


Do you wish to present a talk?

Yes / No (delete as appropriate)


Title of your proposed talk:


Please specify the subject area of your proposed talk:


Abstract of your proposed talk (approximately 10-20 lines):









Do you need a "letter of invitation"?(**)

Yes / No (delete as appropriate)


(**) IMPORTANT: The letter of invitation can only be sent, if this registration form is filled out COMPLETELY, and if this form is filled out BY THE PERSON, who needs the letter of invitation for participating in ITMga 2003. At the time being NO FINANCIAL SUPPORT from the organizers is to be expected.

Comments/Questions:





Maintained by Eckhard Hitzer.
Last Updated 8 Oct. 2003.