III International Pontecorvo Neutrino Physics School

REGISTRATION FORM

Main Page General Information Program Description of the place Travel And Visa Information Contact Information Registration Form Lectures and Photographs

Please fill this form to register.
We also accept applications by e-mail, nst@nusun.jinr.ru
Early application will increase the chance to be accepted.

Surname:
Name(s):
Sex:
Citizenship:
Your home institution (full name):
Your position:
Your research interests and current work (3-5 sentences):
Address for communication:
Phone (office):
FAX:
E-mail:
Preliminary arrival date:
Preliminary departure date:
I will be accompanied by:
Name(s):
Comments:

Anastasia Bolshakova nst@nusun.jinr.ru