ICHEP'04

 

32nd International Conference on High Energy Physics

August 16-22,2004 

Beijing

 

 Registration Form

 

Registration Instructions:


 

Title 
First Name 
Last Name 
Nationality 
Passport Number 
Affiliation 
Mailing Address 
City 
Postal Code 
State/Province 
Country 
Name of the city  where you want to apply for your visa.
Telphone 
Telefax 
E-mail Address 

*Financial Support Application:

Local Staying Expenses  yes no
International Travel  yes no

      Deadline for financial support application is May 31, 2004


*Accompanied By:
Full Name(s) 
Nationality(s) 
Passport Number(s) 



For further information, Please contact the ICHEP'04 Organizing Committee.

Mr. Tiejun Deng TEL: +86-10-88235014
Organizing Committee FAX: +86-10-88233374
ICHEP'04 E-mail: ichep04@mail.ihep.ac.cn
P.O.Box 918 URL: http://ichep04.ihep.ac.cn/
Beijing,100039 P.R.China