NATO Advanced Study Institute

Photonic Crystals and Light Localization

June 19-30, 2000

Application/Registration Form for Applying to Participate in the NATO ASI

First Name:
Last Name:

Address:

Telephone:

FAX:

email:

Nationality:

Sex: Female Male

Present professional activity:

Ph.D. studentPostdoc Senior physicist

Sector:

Industry Government Academic

Academic degree, year obtained:

Name of educational institution, country located:

Field in which degree was obtained:

Relevant publications, if any (please give title of the paper, journal, volume, page numbers, authors):

If you want to contribute to the poster session, please send or e-mail an abstract to the conference secretary and give the title here. NOTE: all abstracts should be typed in text, no TEX or LATEX, since they will be included on the URL, as well as in the conference program booklet. The deadline for this contribution is March 1, 2000.

 

Employer:

Present position:

Registration fee is $150 (U.S. dollars). This helps pay for the coffee breaks and the Greek night. The cost for a spouse or companion to the Greek night is $50 (U.S. dollars). Please submit your registration fee before May 1, 2000.

Do you intend to bring your spouse and/or other person?

Yes No

Do you need a roommate?

Yes No

I plan to share a room with:

Limited funds, covering part of the local living expenses will be available to subsidize young scientists who are unable to obtain full support from other sources.

My participation depends on the availability of a grant for room and board

Additional comments:

 

 

We will notify applicants of their admission status by e-mail by April 1, 2000.

 

 

UPDATED: 1500 CST 25 JANUARY 2000