APPLICATION FORM
for participation at the NATO Advanced Research Workshop
"Radiation Safety Problems in the Caspian region" Baku, 11-14 September, 2003

Name______________________________________________________

Surname___________________________________________________

Age*______________________________________________________

Title_______________________________________________________

Position____________________________________________________

Organisation________________________________________________

Title of report_______________________________________________

Tel_______________________________________________________

Fax________________________________________________________

E-mail_____________________________________________________

URL_______________________________________________________

* For young specialists will be provided additional financial support

Download (word)

Please send filled Application form and Abstract of presentation up to 31 May, 2003 to

Dr. Islam Mustafaev
31-a H.Javid ave 370143
Baku Azerbaijan

Tel: 99412-394113, 99412-743004
Fax: 99412-743004, 99412-398318
E-mail: imustafaev@iatp.baku.az