International Conference on INVERSE PROBLEMS OF MATHEMATICAL PHYSICS

Registration form

 

Mr. Mrs. Miss. First Name Last Name

Title

Affiliation

Address

City

Zip code

Country

Phone

Fax

E-mail

Date of birth (date, month, year)

Citizenship

Passport number (Requested for VisaApplication)

Data for accompanying persons (1, 4-7, 11-13)


Submission is also possible by fax or by ordinary mail or e-mail to

Dr. Olga Klimenko
Sobolev Inst. of Mathematics
Koptyug prosp. 4, Novosibirsk
630090, Russia
e-mail ipmf@math.nsc.ru
Fax: +007-3832-33-25-98

The deadline for submission of Registration Form is June 10, 1998.

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