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

Augusto Micheletti, Secretary of CIRM
Fondazione Bruno Kessler
I- 38050 POVO (Trento), Italy
fax: Italy+0461 810629
michelet@science.uni
tn.it

REGISTRATION FORM

ADONET-CIRM School on Graphs and Algorithms

Levico Terme (Trento), October 21-27, 2007

 

Family Name:     

First Name:                        

Citizenship:         

Full address:        

                            

e-mail:                  

Present professional position:

I need financial support: Yes/No

Researchers asking for a grant should indicate possible advisor and publications (if any):

I would like to share the room with:   

Arrival date (standard: October 21 afternoon):           

Departure date (standard: October 27 lunch time): 
 

Date:                                                                

Signature