Entrance hall of the ICMSApplication

Delegate Application Form : 1608-MUL - New mathematics for a safer world: wave propagation in heterogeneous materials

The closing date for applications is May 5, 2017.

Special Instructions

PLEASE COMPLETE THIS FORM TO APPLY FOR A PLACE AT THE WORKSHOP, NOTING THAT YOU ARE ASKED TO ARRANGE AND PAY FOR YOUR OWN ACCOMMODATION AND TRAVEL. IF YOU WISH TO BE CONSIDERED FOR A CONTRIBUTED TALK, PLEASE COMPLETE THE PRESENTATIONS SECTION OF THIS FORM. ALTERNATIVELY, IF YOU PREFER TO PRESENT A POSTER, PLEASE USE THE BOX PROVIDED.

Personal Details

Date of Birth:*
Please specify any dietary or other requirements.

Dates of attendance at event

Date of Arrival:
Date of Departure:

Presentations

If you have been invited to give a talk, or wish to be considered for a contributed talk, please provide the title and a short abstract. If you leave this blank we will assume that you do not wish to give a talk.

Additional Information

RESEARCH INTERESTS: Please provide a brief synopsis about your research interests (a sentence or two) here:
POSTERS: If you wish to contribute a POSTER, please give a title and short abstract here:

Additional Information

Preview