EIMI: Stochastic Analysis and Related Topics: Reg. Form

WORKSHOP ON
STOCHASTIC ANALYSIS AND RELATED TOPICS

June 4-10, 2001

Saint-Petersburg, Russia

Registration Form

Family name (as in passport):
First name(s) (as in passport):
Affiliation:
Position:
Address (official)
Street address:
City:
Postal code:
Country:
Fax (official):
Phone (official):
e-mail:
I need a hotel:	yes no
From:
Till:

Please, give the details about the type of room you wish and
the persons you wish to share the room with:

number of rooms:

shared with:

price per appartment:

number of persons:

I intend to give a talk:

yes no

Title:

I need a Russian visa:

yes no

If you need a visa, please, fill in the following VISA FORM:

Date of arrival:

Date of departure:

Citizenship:

Passport number:

Passport expiration date:

City (with a Russian Consulate) where you will apply for a visa:

Date of birth:

FAX number to send the invitation to:

Mailing address to send the invitation to:

IMPORTANT:You need to send a copy of your passport (the pages containing your name, passport number and passport expiration date) by fax to

7 812 234 5819 or 7 812 310 5377 for Elena Novikova
Do likewise with the passports of all accompanying persons.

I would like to come with accompanying person(s):

yes no

Their names:

If "yes", please, make a separate registration and visa form for each accompanying person: fill in the same fields for everyone (DO NOT omit affiliation, position, address and fax of the institution FOR EMPLOYED and FOR STUDENTS or PUPILS).
IMPORTANT: Please, check that your medical insurance is valid in Russia.

Fill in the above REGISTRATION FORM or send via E-Mail to:

E-mail: stochastic@imi.ras.ru

Back to the EIMI home-page

Back to the Steklov Institute of Mathematics at St.Petersburg

number of rooms:
shared with:
price per appartment:
number of persons:

I intend to give a talk:	yes no

Title:

I need a Russian visa:	yes no

If you need a visa, please, fill in the following VISA FORM:

Date of arrival:
Date of departure:
Citizenship:
Passport number:
Passport expiration date:
City (with a Russian Consulate) where you will apply for a visa:
Date of birth:
FAX number to send the invitation to:
Mailing address to send the invitation to:

IMPORTANT:You need to send a copy of your passport (the pages containing your name, passport number and passport expiration date) by fax to 7 812 234 5819 or 7 812 310 5377 for Elena Novikova *Do likewise with the passports of all accompanying persons.*

I would like to come with accompanying person(s):	yes no
Their names:

If "yes", please, make a separate registration and visa form for each accompanying person: fill in the same fields for everyone (DO NOT omit affiliation, position, address and fax of the institution FOR EMPLOYED and FOR STUDENTS or PUPILS). IMPORTANT: Please, check that your medical insurance is valid in Russia.