Application Form for a Euro-Par'97 Travel Grant
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Name:

Affiliation:

Date of birth:

Reason for attending Euro-Par'97: (author, professional, private)

   If author, number and category of paper:

   If paper was submitted, but rejected, which workshop?



Registered? yes/no

   If yes: reg-id, amount and type of payment:

Have you already booked a hotel?  yes/no

Would you like to stay in a cheaper hotel (DM 30,-)?  yes/no

Dates of arrival/departure at Passau:

   arrival:

   departure:

Any additional relevant info: