POLYSLAV-XX. September 4-11, 2016, Moscow. Application Form

POLYSLAV-XX

September 4-11, 2016, Moscow

Application Form

1.	Last name, first name (in Roman script and Cyrillic if applicable)
2.	Academic title
3.	Affiliation and work address
4.	E-mail (private)
5.	E-mail address (official, if applicable)
6.	Phone number (private)
7.	Phone number (official, if applicable)
8.	Subject of the contribution
9.	Language of the contribution
10.	Abstract of the contribution (for the new members only)
11.	Technical equipment needed for presentation of the paper (overhead projector/beamer)
12.	Date of birth
13.	Nationality
14.	Do you need an invitation to apply for a visa to Russia?
15.	Estimated date of arrival to Russia
16.	Estimated date of departure from Russia
17.	Address for invitation[1]
18.	Date

[1] Preferably e-mail for a scanned document; if a traditional written form is necessary please add the preferably mail address (especially when it differs from information given in no. 3).