Oporto Meeting on Geometry, Topology and Physics   Oporto Meeting on Geometry, Topology and PhysicsOporto Meeting on
              Geometry, Topology and PhysicsOporto Meeting on
              Geometry, Topology and Physics
FCUP
              - Isntituto Superior Técnico Faculdade de Ciências da Universidade do Porto Instituto Superior Técnico  
XXIst Oporto Meeting on
Geometry, Topology and Physics
    4th-7th February, 2015
 

Registration Form

Although the programme is now full and funding applications are closed, applications just to participate will still be considered until 30th Jan.

Please complete and submit the application form below before 25th November  .
The entries marked with an asterisk (*) are optional.

Title (Professor, Dr., etc.):
Full name:
Affiliation:
Institutional Address:

Street:
City: Postal Code:
Country:
Institutional Email: (name@host.domain)
Male/Female: (M/F)
Date of Birth*: (Necessary only if you are applying for financial support)
month year

If you are a graduate student or recent PhD please indicate your main research interests and the name of someone willing to send a recommendation letter on your behalf if needed:

Personal Web Page*: (e.g. host.domain/~username)
Fax*:

Do you wish to give a talk (please note that it may be impossible to arrange a slot for
everyone due to the tight schedule)?


IF YES, PLEASE SEND US THE TITLE and a SHORT ABSTRACT
(preferably with a list of references):

If you require financial support in order to attend, please explain your situation. There is a limited amount of financial support from ESF, and possibly some local support, but participants are strongly encouraged to seek their own funding.