REGISTRATION FORM
              
          "PHYSICAL VARIABLES IN GAUGE THEORIES" 

NAME:..............................................................

FIRST NAME: .......................................................

I intend to participate in the Conference (yes, no):...............

I would like to give a talk on: ...................................

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ABSTRACT:..........................................................

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MAILING ADDRESS:...................................................

PHONE:..................... FAX:...................................

E-MAIL: ...........................................................

CITIZENSHIP........................................................

DATE OF BIRTH......................................................

PASSPORT NUMBER....................................................

PASSPORT VALIDITY..................................................

ARRIVAL/DEPARTURE DATES............................................

RUSSIAN CONSULATE/EMBASSY APPLIED FOR VISA.........................

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ITINERARY INSIDE RUSSIA............................................


Please, return to:

Dr.Arsen Khvedelidze
Bogoliubov Laboratory of Theoretical Physics
Joint Institute for Nuclear Research
141980 Dubna, Moscow region,
Russia 

Email: khved@thsun1.jinr.ru