1st Scientific ICRANet Meeting in Armenia
Black Holes: the largest energy sources in the Universe
30 June - 4 July 2014 - Yerevan (Armenia)

From June 28 to June 29 a graduate school, on the same topics of the meeting, will take place in the mountains close to Yerevan.
In addition to the IRAP-PhD students, other graduate students are welcome.

ON-LINE REGISTRATION FORM

The fields marked with segnspun.jpg (9529 bytes) must be filled.

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: 

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Citizenship:

 

Date of Birth (dd/mm/yyyy):segnspun.jpg (9529 bytes)

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: 

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Invitation letter
(for Visa purposes)

If you need a visa for any accompanying person, please insert in this field his/her data (date and place of birth, passport nr., passport issue and expitarion date):

Country and city of Armenia 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 segnspun.jpg (9529 bytes) Flight details
DEPARTURE  segnspun.jpg (9529 bytes) Flight details