International Summer Space School 2020

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Welcome to the registration form. Please fill in the info properly.

* First name(s) *

* Last names *

Title *

Gender *

Female

Male

* Email *

* Postal code *

* Country *

* City of living *

* Postal address *

E.g.: AV. EUGENIO GARZA SADA 2501 SUR COL. TECNOLÓGICO C.P. 64849. MONTERREY, NUEVO LEON, MEXICO

* Phone *

E.g.: + 52 1 55 XXXX XXXX

Fax

E.g.: + 52 (81) XXXX-XXXX

* Organization *

E.g.: 'Agencia Espacial de México' or 'Universidad Nacional Autónoma de México' - please avoid abbreviations

Department

E.g. 'Department of Remote Sensing of Saturn' or 'Engineering department'

* Position *

E.g.: 'Lecturer on Department of Remote Sensing of Saturn' or 'student'

* Academics *

If you are a student add 'degree and education year'. E.g.: Bachellor student 3rd year // If you are not a student then 'degree and year of graduation'. E.g. : Bachelor 2017

Date of birth *

YYYY

* City where you will apply for visa *

* Emergency contact (name and cell phone) *

E.g.: Carlos Rodríguez / +52 1 55 XXXX XXXX

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