To register, please copy the following form, fill in and send to traczyk@mimuw.edu.pl
or  knotpol2010@gmail.com
First name:

Family name:

Citizenship:

Gender:

Academic affiliation:

e-mail address:

address for correspondence:

I plan to attend from.......................to.......................(give arrival/departure date as planned at this moment)

I plan to present a talk entitled:................................................................................................................
Warsaw
I plan to make my own housing arrangements in Warsaw (Yes/No):

I request financial support and assistance in making housing arrangements in Warsaw (Yes/No):

Będlewo

I request financial support for housing in Będlewo (Yes/No):

I need a single room in Będlewo (Yes/No):

I would like to share a room in Będlewo with:

Section for undergraduate/graduate students

Name and e-mail address of an adviser or another person we may ask for a letter of recommendation: