XXVIII IAU GA

SCIENCE

The submissions will close on 29 February 2012.

Notifications of Grants will be given on 8 May 2012.

(* = required)

Are you an IAU member?	In case you are a registered Individual Member of the IAU, you can Log in and this information will be automatically filled in for you.

First name*	Middle name	Last name*
		Last name should be entered without accents.
Last name with accents, if applicable
Gender*
Date of Birth Format:YYYY-MM-DD*

Nationality*	Country of residence*

Address - please select type:
Organization or Institution
Address line 1
Address line 2
City (or equivalent)*
Postal code
Phone
Fax
Primary email*
Secondary email
Personal URL
Organizational URL
Graduated from
Year of Ph.D.
Present Position
Main Fields of Research

Meetings to attend	Hold down "Control", or "Command" on a Mac, to select more than one.

Currency of request*	Identical currency to be used throughout the Form.
Amount Requested*

Do you expect to receive supplementary funds from other sources?*

Estimated amount for supplementary funds
Please give details on chances, conditions and estimated level of supplementary funding.

Means of transport*	e.g. Car, Plane, Bus, Ship, Plane+Bus etc.
Intended arrival date in Beijing: Format:YYYY-MM-DD*
Intended departure date from Beijing Format:YYYY-MM-DD*

Have you submitted an oral or poster abstract to the SOC(s) of the Meeting(s) that will take place during the General Assembly?

Please fill in the information about the Contribution(s) you have submitted

Meeting Code	Title of your submitted Contribution	Type:

Paste your Abstract here:

Meeting Code	Title of your submitted Contribution	Specify your scientific contribution

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Meeting Code	Title of your submitted Contribution	Specify your scientific contribution

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If you are a Ph.D. student, please indicate your Thesis Director/Supervisor
Name
Institution

Beneficiaries will receive their Grants from the IAU after signing in at the IAU XXVII GA Registration Desk in Beijing and at the IAU Secretariat office in the conference centre. Recipients will be requested to indicate in advance whether they prefer to receive a cash payment in CNY or a bank transfer in EUR.

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