Galileo - Xu Guangqi meeting, October 26-30, 2009 Shanghai (CHINA)

ON-LINE REGISTRATION FORM

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All fields in blue are mandatory for people requesting an invitation letter (for visa purposes). If you don't need the above-mentioned document, you don't have to fill-in these fields

Title (Prof., Dr., Mr., Mrs., Miss): 

Firstname: 

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Lastname: 

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Sex:

Citizenship:
 

Date of Birth (dd/mm/yyyy):

Place of Birth:

Passport number:

Passport issue date (dd/mm/yyyy):

Passport expiration date (dd/mm/yyyy):
 

Institution: 

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Address 
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City:
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Region/State
Country:
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Zip Code 

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Position 
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Phone:

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Mobile

     Fax:

Web  Address: 

E-mail: 

 segnspun.jpg (9529 bytes) Other E-mail:  

Invitation letter
(for Visa purposes)

Country and city of Chinese embassy where you will apply for visa (where the invitation letter should be sent):

Talk title, authors and abstract:

INSERT DATE
( MM / DD /YYYY)

ARRIVAL 

Flight details

DEPARTURE  

Flight details

REGISTRATION FEE
The registration fee is 250 € which will cover coffee break, proceedings, lunch and conference banquet. A late fee will be 350 € after 30th September 2009. The registration fee will be refundable before 15th October 2009 (a small charge may be necessary according Italian bank policies).