CASC'2004: Computer Algebra in Scientific Computing

July 12-19, 2004

for visa invitation

Family name:

First name(s):

Middle name:

Affiliation (institution name and address)



  Street address:


  Postal code:


  Fax (office):

  Phone (office):

Phone (home):


I need a hotel:

yes no

Date of arrival:

Date of departure:

Please, give the details about the type of room you wish and
the persons you wish to share the room with :
number of rooms: Click on arrow and choose from the list
shared with:
price per appartment:
number of persons: Click on arrow and choose from the list

I need a Russian visa:

yes no    

If you need a visa, please, fill in the following VISA FORM:    

I would like to apply for

a tourist visa a business visa

Date of arrival:

Date of departure:


Country of permanent residence:

Passport number:

Passport issue date:

Passport expiration date:

City (with a Russian Consulate) where you will apply for a visa:

Date of birth:

Place of birth:

FAX number to send the invitation to: Mailing address to send the invitation to:     IMPORTANT: you need to send a copy of your passport
(as usual, this means "a copy of two adjacent pages one
of which contains your photo") by fax to

7 812 234 58 19 for Elena Novikova

Do likewise with the passports of all accompanying persons.    

I would like to come with accompanying person(s):

yes no

Their names:     If "yes", please, make a separate registration and visa form for each accompanying person: fill in the same fields for everyone (DO NOT omit affiliation, position, address and fax of the institution FOR EMPLOYED and FOR STUDENTS or PUPILS). I would like to visit cities: