Hydrogen Atom III
- International Conference on
Precision Physics of Simple Atomic Systems
Mangaratiba, Rio de Janeiro - BRAZIL
August 01-04/2004
- Registration
(please return the form below to <hydro3@if.ufrj.br> as early as posible and before May 01, 2004)
-
Click here for templates for submission
I. Personal Data
Name:
Title:
Affiliation:
Position:
Address:
Phone:
Fax:
Email:
II. Submission:
Are you going to submit a contribution(s)? (please, get the apropriate template files)
Title1:
Coauthors1:
Short abstract1 (for selection only):
Title2 ...
Accompanying persons:
Number:
Name1:
Name2:
......
III. Accomodation:
- single room
- 1/2 of double room
- double room
- double room + extra bed
- special case (please specify):
IV. ICAP:
Will you plan to attend ICAP
For all period:
in part (from ... to...) (tell us as soon as posible as we’ll try to negotiate a reduced fee):
Will you present a contribution to ICAP
Title:
V. Visa: (please check with your travel agent, as Brazil requires VISA from citizens of all countries which require VISA from brazilians)
Do you need a brazilian visa?
Also for accompanying persons ?
VI. Grant:
[Some support may be possible for a limitted number of participants]
Do you need the support ? (please, explain)
E-MAIL BACK THE FILLED FORM TO: <hydro3@if.ufrj.br>
hydro3@if.ufrj.br
