RENCONTRES DE MORIOND

40th anniversary
March 11th, March 18th 2006

Electroweak interactions and Unified theories

REGISTRATION FORM

Mr / Mrs :
Family name :

First name :

Date of birth (dd/mm/yyyy):

Nationality :

Professional status :

Is this your first attendance :
Yes No
Are you :

Fields of interest :

Collaboration :


Home institution address :
Name of your Institution:
Research Unit:

Street/PObox/etc :

City :

Postal code :

Country :

Phone :

Fax :

Email :


Institution mailing address (if different from institution address) :
Name of your institution:
Research Unit:

Street/PObox/etc :

City :

Postal code :

Country :
Phone :

Fax :

E-mail :


Which institution should appear in all the conference documents ?

Will you be accompanied ?
yes no
Name and first name :
By your children ?
yes no
First name
First name
First name
birth date (dd/mm/yyyy)
birth date
birth date

If you wish to have a single room, please metion it (suppl. of 140 euros)
To share a room, please specify :
What will be your approximate time of arrival on Saturday March 11th ?
by ?

Will you use the conference bus :
on saturday, March 11th, from Geneva airport to La Thuile at 13h30 ?
n° of seats :
on satruday, March 18th, from La Thuile to Geneva airport at 12h30 ?
n° of seats :

Documents and informations (links)
Grants : Application forms for a European Grant

Young researchers (less than 10 years experienced) and experienced researchers

PhD (less than 4 years since the beginning of your thesis)
Contact : conference secretary Registration form 'pdf'