INTERNATIONAL CONFERENCE ON HIGH PERFORMANCE SCIENTIFIC COMPUTING Modelling, Simulation and Optimization of Complex Processes March 10-14, 2003 Hanoi, Vietnam ----------------------------------------------------------------- REGISTRATION FORM (Please tick boxes as appropriate with "X" like "[X]") Name (Mr./Mrs., First name, Middle initial, Last name): Title (Prof., Dr., M.Sc., Eng.,...): Company/Organization: Address: State/Country: Phone: Fax: E-mail: URL (Web address): I intend to [ ] attend the conference [ ] submit a paper Title: Authors: Lecture presented by: Name of accompanying persons: HOTEL RESERVATION [ ] I reserve myself [ ] Please reserve for me [ ] a single room [ ] a double room Category [ ] ... - 20 USD/day [ ] 21 - 40 USD/day [ ] 41 - 60 USD/day [ ] 61 - 100 USD/day [ ] 101 - ... USD/day If not available then I choose the [ ] lower [ ] higher category Arrival date (at the hotel): Departure date (from the hotel): ------------------------------------------------------------- VISA FORM (Please fill out all fields) Full name: Your e-mail address for confirmation: Date of birth: Place of birth: Profession: Passport number: Date of issue: Place of issue: Expiry date: Original nationality: Present nationality: Date of entry to Vietnam: and point of entry: How long to stay in Vietnam? At what Vietnamese embassy or consulate do you want to collect your visa? Name of your accompanying persons (please fill the VISA information form for each accompanying person as doing with a normal participant. The list here only mentions the relationship):