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

Augusto Micheletti, Secretary of CIRM
Fondazione Bruno Kessler

Via Sommarive, 14 - Povo
I-38123 Trento, Italy
fax: +39-0461-810629
michelet@science.unitn.it

REGISTRATION FORM

Summer School on

“An Interdisciplinary Approach to Tensor Decomposition”

Trento, July 14^th – 18^th, 2014

Family Name:

First Name:

Age:

Sex:

Citizenship:

Full address:

e-mail:

Present professional position:

Single bedroom: □** (46 Euro) □*** (63 Euro) □**** (71 Euro)

Double bedroom: □** (61 Euro) □*** (95 Euro) □**** (131 Euro)

I share the double bedroom with:

Arrival date (standard: Sunday, July 13^th afternoon/evening):

Departure date (standard: Saturday, July 19^th morning):

Date:

Signature