Please send the form, preferably by e-mail, to

Augusto Micheletti, Secretary of CIRM
Istituto Trentino di Cultura
I- 38050 POVO (Trento), Italy
fax: Italy+0461 810629
michelet@science.unitn.it

APPLICATION FORM

Summer School on
”Real PDE’s for Complex and CR-Geometry”

Trento, July 17-29, 2005

Family Name:

First Name:

Age:

Sex:

Citizenship:

Full address:

e-mail:

Present professional position:

I need financial support:

Arrival date (standard: July 17 afternoon):

Departure date (standard: July 29 lunch time):

Date:

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