Registration Form
MODERN INFORMATION SOCIETY FORMATION:
PROBLEMS, PERSPECTIVES, INNOVATION APPROACHES
Conference on Wave Electronics and Its Applications
1-5 June, 2015, St.- Petersburg, RUSSIA
1. Title (Prof./Dr./Mr./Ms.)
2.Sex
3. Last name
4. First name
5. Proffession/Position
6. Company
7. Address:
Home
Office
Street address /PO Box
City
Post/Zip Code
Phone
Country
Fax
8. Passport №
Email
9. Date of birth (dd/mm/yy)
10. Date of issue (date of expiry dd/mm/yy)
11. Valid until (date of expiry dd/mm/yy)
12. Date of arrival to Russia (approximately - this date will be
pointed at your invitation for getting entrance visa)
13. Date of departure from Russia (approximately - this date will
be pointed at your invitation for getting entrance visa)
14. Cities for visiting in Russia
15. City, where you prefer to get you visa (Russian Embassy or Consulate should be there)
16. Are you coming with accompanying person? YES
Name of the accompany person:
NO
17. Do you plan to submit paper?
YES
NO
If you answer "YES" on the question #16, please, answer next questions too (questions 18 -31)
Page #1
Registration Form (accompanying person)
MODERN INFORMATION SOCIETY FORMATION:
PROBLEMS, PERSPECTIVES, INNOVATION APPROACHES
1-5 June, 2015, St.- Petersburg, RUSSIA
18. Title (Prof./Dr./Mr./Ms.)
19.Sex
20. Last name e
21. First name
22. Proffession/Position
23. Company
24. Address:
Home
Office
Street address / PO Box
City
Post/Zip Code
Phone
Country
Fax
25. Passport №
Email
26.Valid until (date of expiry)
27. Date of birth
28. Date of arrival to Russia (approximately - this date will be
pointed at your invitation for getting entrance visa)
29. Date of departure from Russia (approximately - this date will
be pointed at your invitation for getting entrance visa)
30. Cities for visiting in Russia
31. City, where you prefer to get you visa (Russian Embassy or Consulate should be there)
Page #2
Please submit your completed registration form and copy of the first page of your passport
with following information: passport number, date of issue, and your full name to the
Organizing committee.