GLOBAN 2006 SUMMER SCHOOL - REGISTRATION FORM
  =============================================

Please fill out the items below and send the finished form in email (as
plain text, please) to globan@imm.dtu.dk with subject "GLOBAN registration".


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

EMAIL ADDRESS.....:

NATIONALITY.......:

DATE OF BIRTH.....:


INSTITUTION.......:

POSTAL ADDRESS....:

COUNTRY...........:


SUPERVISOR........:

SUPERVISOR'S EMAIL:

Please have your supervisor send a letter of recommendation to us
seperately, and before the registration deadline.


SHORT CV - indicate academic degrees (year and institution), current
           position, relevant publications (if any):


INTERESTS - please write a few sentences about your scientific
            interests within the area of GLOBAN:


APPLYING FOR A GRANT (YES/NO).......:

TYPE AND AMOUNT OF GRANT APPLIED FOR:

WILL YOU BE ABLE TO PARTICIPATE WITHOUT A GRANT (YES/NO):


DO YOU NEED AN INVITATION LETTER FOR VISA PURPOSES (YES/NO):

  (Do not anwer Yes without first reading the visa information on
  the registration page).