Registration form
Seminar on Generation IV Nuclear Energy Systems
Halden, Norway
31st October – 1st November 2011
Registration type
Student
Regular
Registration date
DD/MM/YYYY
Name as written in the passport First name
Surname
Company/University/Institution
legal name
Company/University/Institution
address
Telephone and fax
Position
Email address
Presenter
Yes
No
If presenter, the preliminary
title of the presentation
Participate to seminar day 1
(31st October)
Participate to seminar day 2
(1st November)
Participate to dinner
(31st October)
Need hotel reservation
Title: ____________________________
If hotel reservation needed,
please specify
If you would like to visit the
Halden reactor, please send us
also:
Arrival date
Departure date
1. Date of birth (year-month-day)
2. Citizenship/Nationality
3. Passport number
Yes
No
Yes
No
Yes
No
Yes
No
For registration, accommodation and further information contact:
Rudi van Nieuwenhove
Email: rudivn @hrp.no