15-th UK meeting on Integrable Models, Conformal Field Theory and Related Topics


London 15/16 April 2011



 

ICFT2011  Registration Form

If you wish to participate in the workshop, please fill in the form.
 

 

Personal Details

Family name     

First name        

Title                  

Status                 (e.g. graduate student, postdoc, staff)

Nationality         

E-mail address 

Phone number   

Institution           


Full postal address of institution

 

 

Accommodation arrangements

I am a local participant                               Yes No


I would like you to help me to find a hotel Yes No

Please comment here if you need special arrangements for your accomodation?



Financial Position

I have sufficient funds to cover the cost of accomodation and fees       Yes No
I'm a graduate student and would like to claim cost  for travel                Yes No

I'm a graduate student and would like to claim cost  for accomodation Yes No

Please comment here on special arrangements concerning your financial position?



Talk:

There are still a few slots for short talks available.

I would like to give a talk   Yes No

Proposed title for your talk


Abstract for your talk



Poster:

I would like to present a poster   Yes No

Workshop dinner:

I would like to come to the workshop dinner   Yes No

Any further comments:

 

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