III Summer School in Modern Mathematical Physics   

20 - 31 August 2004, Zlatibor, Serbia and Montenegro

Application Form

Please fill in the application form with all requested information. Your e-mail address will be used for all further contacts.

  Personal information

 

Title, Position   
First name                
Family name                           
Nationality

Date of birth

E-mail
 

  Professional information

 

Home institution
Department
 Address
 Postal Code, City
 Country
 Telephone
 Fax

 

Period of stay:  from    to

 

  Brief description of your current work (up to 100 words)

  List your recent publications (title, journal and year)

  Title and abstract (if you wish to give a talk)

I shall participate at my own expenses
I am requesting financial support only for living expenses
I am requesting financial support only for travel expenses
I am requesting financial support for both living and travel expenses

  Message to organizers