Registration Form
Last Name
(in English)
First Name
(in English)
Middle Name
(in English)
Last Name
(in Russian)
First Name
(in Russian)
Patronymic Name
(in Russian)
Last Name
(in Mandarin)
First Name
(in Mandarin)
Sex
Male
Female
All fields below should be filled in English
Country *
Town/City *
Affiliation *
(full title of your institution)
Position *
Degree *
Are you a young participant? *
(born in 1989 or later)
Yes
No
E-mail *
Mobile phone number
Information about your talk
Do you intend to give a talk?
Yes
No
Title of your talk *
Co-authors Last name and First name (for all co-authors separated by commas)
Arrival date
Departure date
Would you like to come with accompanying person(s)? (Please fill in a separate registration form for each accompanying person)
Citizenship *
I dont have Russian citizenship
I have Russian citizenship and citizenship of another contry
I have only Russian citizenship
Are you going to come to Russia with a valid Russian passport?
Yes
No
Citizenship
(you should write all the citizenships you have)
Please send a scanned copy of your passport (used for a visit to Russia) and accompanying persons’ passports to
eqdiff@yandex.ru
. The passport must be valid for at least 6 months after the expected departure from Russia.
Do you need a Russian visa?
Yes
No
Date of birth
Precise place of birth
Country of permanent residence
Passport issue date
Passport expiration date
Arrival date in Russia
Departure date from Russia
Route in Russia
City (with a Russian Consulate) where you will apply for the visa
Before sending registration form, please, double check your personal information to avoid any misunderstandings or delays.
By submitting this registration form, you consent to the processing of your personal data.
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