Registration form for the

Rusa prova sanmarineca universitata sesio (PSUS/RU)

(Russian Experimental Sanmarinian Universitarian Session (PSUS / RU) of the AIS)

If possible please use the international version, it makes our organisational work much easier.

Moscow (Russia), 1998.03.22 - 1998.03.29

NAME (latin print, please):

Complete ADDRESS:

...

Please accept my registration for PSUS / RU.

(This item normally concerns only AIS students:) During the conference I should like to acquire in section ......
- originally
- by re-examination of a degree acquired at another institution
the following scientific degree:
- bakalauxro (Bac. sc.)
- magistro (Mag. sc.)
- doktoro (Dr. sc.)
- doktoro habilita (Dr. sc. habil.)
I should like to offer a course / lecture in section ....., titled
....
I accordingly inform the dean of this section. (Proposals for courses and lectures accepted till: 1997.10.20; Proposals are considered for the official programme only after the conference fee has been paid.)
Please debit the PSUS fee (0,3 AKU till 1998-01-01, later 0,5 AKU) to my AIS account whose state s sufficient.
As my account does not suffice I shall fill it up
- by way of account no. 2051-305 at "Postbank Hannover", BLZ 25010030
- by check -- directly to tha AIS' treasurer, OProf. Bengt-Arne Wickström (in this case add 0,15 AKU for bank expenses!)
- by way of a Russian bank account about whose number you will inform me.
Not being an AIS member I shall pay by one of the mentioned ways.
As I am a life-long supporting member of the AIS I pay no conference fee.
As I am a registered student of the AIS (ID number: . . . . . . . . . . . . . .), I pay no conference fee.

Place, date: . . . . . . . . . . . . . . . . . . . . . Signature: . . . . . . . . . . . . . . . . . . . . .

For your information: In August 1997, 1 AKU (akademia kotiz-unuo) equals 125 DEM (Deutsche Mark). So the conference fee in DEM is 37,50 DEM resp. 62,50 DEM. It includes participation in all items of the scientific programs but does not cover any examination fees.

See also our general information on PSUS/RU.

Please mark applicable items with a cross, fill the gaps and strike out which does not apply. Send your registration (if possible use the international version) to: ADoc. Joanna Lewoc, Secretary to the Senate, Karl-Schwarzschild-Weg 6/317, DE-37077 Göttingen, Deutschland.