%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% %%%%%% Registration to JIGSAW 2007 %%%%%% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% Please copy and paste the form on a mail to be sent to jigsaw@theory.tifr.res.in after filling the fields of interest. Please *do not* send back the form as an attachment! You will receive a mail of reciept of your application (usually within 48 hours on working days). The deadline for applications is December 31, 2006. Obligatory information is marked with an asterisk * ======================================= First Name:* ............................... ======================================= Last Name:* ............................... ======================================= Sex (M/F):* ... ======================================= Citizenship:* ............................... ======================================= Institution:* ............................. ======================================= Address:* ............................... ======================================= Zip code:* ............................... ======================================= Town:* ............................... ======================================= Country:* ............................... ======================================= Your e-mail address:* ............................... ======================================= Arrival & Departure dates:* Arrival date: ......... Departure date: ......... ======================================= Could share the room with: (preference) ............................... ======================================= Research Field, Collaboration:* ............................... ======================================= Ph.D advisor's name:* (required only for Graduate students) ............................... ======================================= Ph.D advisor's e-mail address:* (required only for Graduate students) ............................... ======================================= Will you bring a poster:* (Yes/Will confirm later/No) ............................... ======================================= Poster Title:* (if the answer to the previous question is not no) ............................... ======================================= Other Information/comments: .............................. .............................. .............................. =======================================