Second St.Petersburg Days of Logic and Computability

International meeting

Second St.Petersburg Days of
LOGIC and COMPUTABILITY

devoted to the centennial of
Andrei Andreevich MARKOV (Junior)

August 24-26, 2003 St.Petersburg, Russia

Registration Form

Family name:

First name(s):

Citizenship:

Country of permanent residence:

Degree, title(s):

Affiliation:

Position:

Mailing address:

e-mail:

Phone(s):

Fax:

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 apartment:

number of persons:

I intend to give a talk:

yes no

Title:

If you need visa fill in the following fields too:

Date of birth:

Place of birth:

Passport number:

Passport date of issue:

Passport date of expiry:

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

FAX number to send the invitation to:

Mailing address to send the invitation to:

I would like to visit the cities:

IMPORTANT: you need to send a copy of your passport
(this means "a copy of two adjacent pages which contain
your photo, passport number and passport expiration date")
to FAX: 7 (812) 234 58 19 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, fill in the same fields 1-20 for every of them.
(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.

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Family name:
First name(s):
Citizenship:
Country of permanent residence:
Degree, title(s):
Affiliation:
Position:
Mailing address:
e-mail:
Phone(s):
Fax:

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 apartment:
number of persons:

*If you need visa fill in the following fields too:*
Date of birth:
Place of birth:
Passport number:
Passport date of issue:
Passport date of expiry:
City (with a Russian Consulate) where you will apply for a visa:
FAX number to send the invitation to:
Mailing address to send the invitation to:
I would like to visit the cities:

IMPORTANT: you need to send a copy of your passport (this means "a copy of two adjacent pages which contain your photo, passport number and passport expiration date") to FAX: 7 (812) 234 58 19 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, fill in the same fields 1-20 for every of them. (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.*