Please send the form, preferably by e-mail, to

Augusto Micheletti, Secretary of CIRM
Istituto Trentino di Cultura
I- 38050 POVO (Trento), Italy
fax: Italy+0461 810629
michelet@science.unitn.it
 
 

Application Form

School-Workshop on
"The Geometry of the Fourier Mukai Transform"
Levico Terme (Trento), June 15-20, 2003






Family Name:

First Name:

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e-mail:

Present professional position:

Current interest in the field of the School:
 

I need financial support: O Yes            O No
 

I would like to share a double bedroom with:
 
 
 

Date:                                                                               Signature