Stanford-USTC-MIT 2015 (SUM)
Geoscience Graduate Student Summer Camp
Hefei, China, Sep. 6-15, 2015
Registration Form
Please fill in this form and send back to USTC via email (hxy59@ustc.edu.cn) by 25th June 2015.
Applicant's Details
Name
Surname
Phone
School/Department
Mail
Visa to China
Issued
Emergency Contact
Male
Female
Insurance
Yes
DOB
Nationality
Photo
Not issued
No
Passport Number:
(Please attach scanned copy of your passport in the second page)
Topic
Presentation/
poster*
Yes
Presentation
Poster
Abstract
(may be attached)
No
Curriculum Vitae (may be attached)
(Including your education background, work experience, achievements, award, etc.)
Personal Statement
(including your direction of research, intention and ambitions of your application, etc)
*Presentations/posters are collected for SUM Geoscience Conference. Applicants may first give a
topic for presentation or poster, and submit the abstract by August 15th, 2015.
Scanned copy of your passport: