Please type the following Registration Form from our home
page, fill and mail it to:
Dr. Naihong HU
Secretary Office for ICRT
Department of Mathematics
East China Normal University
Shanghai 200062, P.R. China
Fax: (86)-(21)-62576217
E-mail address:
ICRT@math.ecnu.edu.cn
or
nhhu@math.ecnu.edu.cn
Registration Form for International Conference
on Representation Theory
Surname: ______________________ First Name: ______________________
Birthday(mm/dd/yy): _________ Place of Birth: ___________ Sex: ___
Nationality: ___________________ Passport number: ________________
Affiliation: _____________________________________________________
Mailing Address: _________________________________________________
__________________________________________________________________
E-mail Address: __________________________________________________
Telephone: ____________________________ Fax: _____________________
The following member(s) of my family will travel together with me:
1. Name: ________________________________ Relationship: _________
Birthday (mm/dd/yy): _____________ Passport number: __________
2. Name: ________________________________ Relationship: _________
Birthday (mm/dd/yy): _____________ Passport number: __________
I will apply for my visa the Chinese Embassy/Consulate in the
City: ____________________________ Country: ______________________
I would like to present a talk (Yes/No) in the following title:
__________________________________________________________________
The abstract in TeX format of my talk has been sent to the e-mail
address: _________________________________________________________
I prefer to choose the following accommodation (check one):
(1) Jin Sha Hotel ( );
(2) Campus (A: big suite) ( );
(3) Campus (B: small suite) ( );
(4) Campus (C: double room) ( );
(5) Campus (D: single room) ( ).
I would like to share a room with _______________________________.
I have made the payment for the registration fee (check one):
( ) Enclosed a personal check/bank draft of 120/130/140 USD;
( ) Transferred 120/130/140 USD from my bank to the following
account in Bank of China, Shanghai Branch
ICRT, Dept of Math
East China Normal University
Account: 044036--51700411809
Remark: __________________________________________________________
__________________________________________________________________
Signature: ________________________ Date (mm/dd/yy): _____________