|
ISOL'01 Tour of the HRIBF |
| If your citizenship or affiliation is | Deadline |
|---|---|
| U.S. | February 28, 2001 |
| Foreign country not listed below | February 21, 2001 |
| January 24, 2001 |
You will be notified by email if permission has not been granted. Otherwise, assume that permission has been obtained for your participation in the tour and lunch.
Male
Female
| Name (must include middle name[s]) | ||
| Citizenship | ||
| Date of Birth (MM:DD:YY) | ||
| City and Country of Birth | ||
| Highest University Degree and Subject | ||
| University Granting Degree |
If you are not a U. S. citizen, you must also supply the following information. Please fax (+1-865-576-5780) us a copy of the first page from your passport (your picture and passport number should be on it) and the page with your visa.
| Passport number | |
| Visa Type | |
| Visa Expiration Date | |
| U.S. Port of Entry | |
| Date of entry to U.S. (MM:DD:YY) |
Please review all the information above and, if correct, submit the form.
For more information or assistance, please contact the Conference Secretary.
This information was last updated on June 8, 2000 .