Registration Form
Registration Form
PROJECT PLANNING WORKSHOP ON SCIENTIFIC
DIMENSIONS OF FOREST FIRES
Simulation and Modelling Studies
of Forest Fires and Transboundary Haze
March 27-29, 2000
COSTED Secretariat, Chennai, India
APPLICATION FOR REGISTRATION
PERSONAL DETAILS
NAME
POSITION
ORGANISATION
NATIONALITY
DATE OF BIRTH
PASSPORT NUMBER DATE OF ISSUE VALIDITY
CONTRIBUTION AT THE WORKSHOP
AREA OF EXPERTISE
RELEVANT TO THE WORKSHOP
DO YOU PROPOSE TO PRESENT A PAPER ?
IF SO, TITLE AND BRIEF ABSTRACT (NOT EXCEEDING ONE PAGE)
LOGISTICS
Number of
ACCOMMODATION FROM TO nights ______
TRAVEL PLANS ARRIVAL DEPARTURE
DATE
TIME
FLIGHT No.
I wish to participate in the Planning Workshop on Scientific Dimension of Forest Fires, 27-29, March 2000, Chennai. Please include my name for registration.
NAME AND SIGNATURE
Date :
Completed form may be sent to reach on or before 17 January, 2000, to :
Dr.Veena Ravichandran
Senior Scientific Officer
COSTED
24 Gandhi Mandapam Road
Chennai 600 025
Tel.: 91-44- 443 0228 / 441 9466
Fax : 91-44-491 4543
E-mail: costed@giasmd01.vsnl.net.in
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