On-line Registration Form

    The 4th KIAS Workshop on

    COSMOLOGY AND STRUCTURE FORMATION

Deadline of oDeadline of on-line registration is Oct. 11, 2010!

      Last name :

      Title : Prof       Dr.     Student

      First name :

       Male    Female 

      Nationality :

         Affiliation :

      E-mail :

         Telephone :

      Check your status, please :  Invited speakers    Participants

      If you plan to attend the banquet, please indicate below.  

      yes No

      Please give us your arrival & departure information.

      Arrival date  : 

       Flight information (optional) : 

      Departure date:

       Flight information (optional) : 

      If you are presenting a talk or a poster, please give us the title and the abstract of your presentation.

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You       your name will appear in the list of participants a few days later after submission.