Please copy and fill in the information below and send it by e-mail to Jorge Cervantes: jorge@nuclear.inin.mx

Family name:
First name:
Nationality:
Gender:

Institute:
Address:
City:
Country:

E-mail:
Phone:
Fax:

Status (faculty,postdoc, student,other):

Arrival date (dd/mm/yy):
Departure date (dd/mm/yy):

Do you plan to stay at the conference hotel?

Do you wish to give a presentation?

Oral or poster :
Title of your presentation :

Abstract: