Title (Dr, Prof.):
Name:
Surname:
Sex:
Date of Birth:
Citizenship:
Residence country:
Institution/Position:
Mailing address:
Phone:
Fax:
E-mail:
Dates of Arrival and Departure:
Title of your talk (please send also the abstract by e-mail):
Preferred place of accommodation (put U1, or S1, etc.):
Participation in social events: please note K, BT and so on.
(K) Kremlin + Oruzhejnaya palata October 2 (tentative)
(BT) Bolshoi Theater
(ticket cost from 500 Rub to 2000Rub) October 2 (tentative)
(KP) Kremlin Palace (ballet)
(ticket cost about 500) October 5 (tentative)
(if you need visa)
Passport number:
Passport valid until:
City you intend to get visa in Russian Consulate:
A fax copy of the first passport page (with you photo) should be sent to Dr. S. Kozyrev (fax number: +7 - 095 - 1350555).