Seventh Gulf Seismic Forum
22-25 January 2012, Jeddah, Saudi Arabia
Registration Form
Please send completed form by December 31, 2011 to: gsf7_info@sgs.org.sa
Participant Information
Full
name
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First
Title
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Address
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State
Country
Phone
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(country + area codes ) Phone numbers
(country + area codes ) Phone numbers
FAX
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Gender :
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Female
Student :
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Please select one of the following options
I shall attend the forum and contribute a paper
I shall attend the forum. No Paper will be presented
Please tick the topics to which you would like to contribute
Seismicity and tectonics of the Middle East
Seismic risk, disaster management and mitigation
Seismic hazards and zoning studies
Seismic networks, data processing and management of seismological data
Earthquake engineering
Early warning systems and seismic safety of critical facilities
Induced seismicity
Volcanic hazards
Please tick the box if you wish to participate in the field trip
I am planning to attend the field trip to Harrat Rahat
Please tick the workshop that you are interested in attending
HAZUS hazard assessment program (Dr. D. Bausch, FEMA)
Moment tensor inversion software package (Dr. R.B. Herrmann, SLU)
Volcanism and seismicity in monogenetic lava fields (Dr. R. Moufti, KAAU )
Passport information for visa purposes
Please provide the following passport details if a visa is required
Passport Number:
Passport Issue Date:
Place of issue
City :
Country:
Passport Expiry Date:
If a visa is required, please include a copy of the personal information page of your passport, either emailed to
zahran.hm@sgs.org.sa or faxed to 966 – 2 – 619 9924