EDP Chile'98
Registration Form

We invite you to speed up your registracion in the International School on Partial Differential Equations (EDP Chile '98) using the following form for your inscription. Those fields indicated with an asterisk (*) are mandatory, so you must fill them for you registration to be processed correctly.
Name:		*
Institution:		*
Postal Address:		*
E-mail:
Phone Number:
Fax Number:
Nationality:
Passport or Id. Card Number:
Academic Degree:
Comments:

										Send by regular mail a copy of this form filled together with:
										1. a letter of recommendation (in a closed envelope)
										2. Grade Records
										3. Other relevant documents to:
										Gladys Cavallone, EDPCHILE'98 Departamento de Ingeniería Matemática F.C.F.M., U. de Chile Casilla 170, Correo 3 Santiago, Chile.