Advanced Course on 

Group-Based Cryptography


28 May to 2 June, 2007

Registration Form

Family Name:    First Name:

Institution Full Address

Department:


University:
 

Street and number:


P.O. Box:        
      City:
 

Postal  Code:            Country:

 

Telephone:                                     Fax:

 

e-mail:

Passport/DNI

Personal Address

Street name and number:


City:
 

Postal Code:            Country:               

 



Citizenship:                           Birthdate:
  

Gender:   Female Male  

I am interested in presenting a communication*: Yes    No

Title:

* Please, send an abstract (up to one page long) to ACGroupBased@crm.es before April 3, 2007. No communication will be accepted unless the abstract is received by that date. Please, write "Abstract by YOUR NAME" on the message subject.

General registration fee                                  200 euros 
Registration Fee for Members of the Societat Catalana de Matemàtiques 100 euros

    
Bank fees must be paid by the participants.

No registration will be processed until the CRM receives the registration payment.

Deadline for registration and payment: April 27, 2007                                           

        




CENTRE DE RECERCA MATEMÀTICA
Apartat 50
E-08193 BELLATERRA