Postal Address

Telephone        Fax 
E-Mail 

Recommendation letters for PhD Student to be sent  by E-mail to: regconf@theory.ipm.ac.ir

Current Institution 

Area of Research 

Please give the title of your talk 

Abstract (to be refeered by advisory committee)

The total fee including board and lodging for non-invited lecturers US$300. A limited number of grants for local expenses and travel fare for participants from the region are available. Participation will depend entirely on acceptance of the full paper by advisory committee.

Request for financial support :
Travel fare Local expenses Both

Place of Birth: City   Country 
Date of Birth (YY/MM/DD) 
Sex Male Female
Nationality 
Father's Name
Passport Number 
Date of Issue (YY/MM/DD) 
Place of Issue 
Expiration Date (YY/MM/DD) 
Place visa to be Issued 
Duration of stay in Iran 
Last visit of  Iran 

• The deadline for registration is:  March 1st, 2004.
• The school secretary will contact you before:  April 15th, 2004.
• For any further information, please contact Mrs. Davarpanah:
E-mail: regconf@theory.ipm.ac.ir
Tel: +98  (21)  229 09 34, 228 06 92
Fax: +98  (21)  228 04 15