REGISTRATION FORM


Name (Mr./Mrs., First Name, Middle Initial, Last Name):
Title (Prof., Dr., M.Sc., Eng.,...):
Company/Organization:
Address:
Phone:                       Fax:
E-mail:

I intend to
    [ ] attend the School on Computational Sciences and Engineering: Theory and
        Applications, March 2-4, 2005, Ho Chi Minh City, Vietnam
    [ ] submit a paper
           Title:

           Authors:

           Who makes the presentation:

HOTEL RESERVATION
    [ ] I reserve myself
    [ ] Please reserve for me
           [ ] a single room              [ ] a double room
           Price category:
           Arrival date (at the hotel):
           Departure date (from the hotel):

(Please tick boxes by "X" like "[X]" as appropriate)
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REGISTRATION FORM


Name (Mr./Mrs., First Name, Middle Initial, Last Name):
Title (Prof., Dr., M.Sc., Eng.,...):
Company/Organization:
Address:
Phone:                       Fax:
E-mail:

I intend to
    [ ] attend the School on Computational Sciences and Engineering: Theory and
        Applications, March 2-4, 2005, Ho Chi Minh City, Vietnam
    [ ] submit a paper
           Title:

           Authors:

           Who makes the presentation:

HOTEL RESERVATION
    [ ] I reserve myself
    [ ] Please reserve for me
           [ ] a single room              [ ] a double room
           Price category:
           Arrival date (at the hotel):
           Departure date (from the hotel):

(Please tick boxes by "X" like "[X]" as appropriate)