International workshop

               ''HOT POINTS IN ASTROPHYSICS''

            (22 - 26 August 2000, Dubna, Russia)



             R E G I S T R A T I O N   F O R M
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PARTICIPANT:
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Surname: 
First Name: 
Second Name: 
Institution: 
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E-mail: 
I plan to contribute a paper (yes,no):
Contribution title: 


ACCOMPANYING PERSON(S) (under 16)
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Name(s): 


INFORMATION FOR THE VISA
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Birthdate: 
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Itinerary inside Russia: 
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