Application Form

Personal data:

Family name (required):  
First name (required):
Age: Sex: M F
Nationality:

Please, give a password that will allow you to edit and modify this document later.
Password (required): 

Academic position and institute

Please clearly indicate where we can reach you in case of communication. E-mail is required.
Academic position: 
Home Institute: Address: Tel: Fax: Email (required): (format name@host.domain.country)

Talk/Poster

Are you interested in presenting a short communication/poster?

(Please consult Information on talks. Invited speakers please tick the button "Talk".)

Talk Poster None
If yes, you must give a title.

Title:


Please give a short abstract of your talk/poster (formulae must be entered in latex):

Some (yet provisional) information about your dates of arrival/departure.

Date of arrival: Date of departure:

The following data are essential for us to provide you an access to the guesthouse on your arrival, especially if your train/flight is scheduled to arrive after 21:00 !

Means of transport:
(please specify as air/train/car. In case of a flight, please give the flight number of the airplane landing at Bologna Airport. For a train, please specify the outgoing station of the train that arrives at Bologna station.)

Expected time of arrival at Bologna:
    hours               minutes
:

Accomodation

Do you need accomodation? Yes No

What sort of accomodation do you prefer? (Note: single rooms are assigned on a first come/first serve basis.)
Single room Double room Triple room

Please, give the name of the person(s) with whom you prefer to share your room (they can be other participants or family/accompanying persons)


We shall contact you later about hotel reservation. For the moment, just to get an idea, please consult the hotels information page.

Please, check the correctness of your data before submitting.


Return to Workshop Home Page