Registration Form for the ISPM Meeting
Selected topics of theoretical and modern mathematical physics
&
10th Regional Conference on Mathematical Physics
School  and Conference
September  17-30, 2000
Tbilisi, Georgia
Registration Form. Deadline: August 15, 2000

Last Name: 

First Name: 

Date of birth (dd/mm/yy):       Sex: F M

Citizenship: 

Academic qualification: 

(If Ph.D. student) name of your advisor: 

Institution: 

Full address:

E-mail address: 

If you wish to present a talk give a title: 

Arrival   Sept. 2000     Departure  Sept. 2000

Indicate please:

a) you will participate at your own expense
b) you are requesting (partial) financial support

 

 
 
 
 
 

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