corfu2011 - Registration Form

Registration Form

The first time you register, please leave the password field empty. Fill out all relevant information, submit the form and the registration information and password will be emailed to you.

You can update your information anytime by filling out all the information^*. Please make sure that your password and email have been entered correctly (no blanks please...). In case you have forgotten your password, submit an empty form with only your email, and your password will be sent to you via email.

If an error persists, contact us at CorfuSI@gmail.com stating clearly what you were trying to do and what the response of the system was.

^*all blank fields will nullify stored data.

Please, give only one e-mail address and make sure that it is correct. This will be your "username" in future interaction with the system. Upon succesful submission of the form, you should receive a confirmation email with your password. In case you will not, please check the spelling of your email address and contact us at CorfuSI@gmail.com.
Leave the password field blank if registering for the first time or if you have forgotten it, we will send you one by email. Fill it if you want to update your data.

Last Name		First Name(s)
Title	Sex	Affiliation
e-mail		Password
Phone		Fax
Address

Graduate student: No Yes
Graduate students should ask their supervisor to send a recommendation letter by email to CorfuSI@gmail.com.

Apply for Institute low cost package for accommodation and meals: No Yes
Please refer to the accommodations page for more information

Apply for financial support (towards local expenses): (Deadline August 3) No Yes
A limited number of funds is available for covering local expences of students and young scientists. This field does not refer to European Research Training Network's participants who will arrange their financial support with network coordinators. Graduate students applying for financial support should send by email to CorfuSI@gmail.com a short (one page) CV.

Expected date of arrival: and departure:

Please indicate the sessions that you plan to attend. Graduate students are strongly encouraged to participate to at least 2 out of the 3 sessions.
Session 1: Sep 4 - Sep 15 1st Summer School of ITN: Unification in the LHC Era
Session 2: Sep 7 - Sep 11 Workshop on Noncommutative Field Theory and Gravity
Session 3: Sep 14 - Sep 18 Workshop on Fields and Strings: Theory-Cosmology-Phenomenology

Talk:

Talk title:

Abstract:

Remarks:
Please provide here any additional information or request