POSIPOL 2011 Workshop

Aug. 28-30, 2011, IHEP, Beijing

Registration Form

Registration Instructions:

Registration Fee：1000RMB/Participant. It includes lunch, banquet, coffee break etc. Please note that we only accept cash in Chinese Yuan.
Complete the form first, then click on the submit button.
Upon receipt, a confirmation number(your ID number) will be sent to you automatically by an email.
Please do not resubmit your registration, email us in case of any changes. posipol2011@mail.ihep.ac.cn
For further details, please refer to http://posipol2011.ihep.ac.cn or contact us .

Title
First Name
Last Name
Sex
Date of Birth
Nationality
Passport Number
Affiliation
Full Mailing Address
Name of the city	where you want to apply for your visa.
Date of arrival
Date of departure
Telphone
Telefax
E-mail Address

*Accompanied By:

Full Name(s)
Sex(s)
Date of Birth(s)
Nationality(s)
Passport Number(s)


*Hotel Reservation:

Hotel	Room_number From Aug. To Aug. Number of Nights