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		SAS-LOPSTR-AGP GRANT APPLICATION FORM
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First name:
Middle initial:
Last/Family name:
School:
Department:
Country:
E-mail: 
Telephone:
FAX:

- What option would you like to register for? 
  (see http://www.clip.dia.fi.upm.es/SAS-LOPSTR-AGP/register.html for
   the different options available): 

- Please, write a brief explanation (around 5 lines) of the reason why
  you want to attend the conference:

- Are you the author of a paper at the conference (yes/no)?:
           
- If so, will you present the paper (yes/no)?:
           
- Are you involved in any other way with the conference (yes/no)?:

- If so, how?:

- Are you a PhD student (yes/no)?: 

- If so, what is the name of your Advisor?:
  E-Mail of your advisor:

- Do you need accomodation at a university student residence (yes/no)?

- If so, please write:
  - your arrival date:                   (not earlier than September, 14th)
  - your departure date:                 (not later than September, 22th)
  (free accomodation can only be provided between the above mentioned dates)

- Would you mind sharing a twin room with another participant (yes/no)?