Workshop on Knot concordance and 4-manifolds October 17-21, 2016

Do you need any financial support?: *

Yes

If you need financial support, please explain briefly why and give the amounts for travel and accomodation you would need.

Name / Email

Last Name: *

First Name: *

Email : *

Financial support

Private address

Street: *

Number: *

Postcode: *

City: *

Country: *

University address

University / Institution: *

Additional address line 1:

Additional address line 2:

Street: *

Number:

Postcode: *

City: *

Country: *

Request for financial support: *

Travel dates and accommodation

What are your planned travel dates?

Arrival: *

Departure: *

Would you like MPIM to make a hotel reservation for you?: *

Yes, single room

Yes, double room (with accompanying adult)

If you would like to make the hotel reservation by yourself you will find a list of hotels here.

Talk

If you would like to give a short contributed talk, please submit a title and abstract. If possible please submit the (La)TeX or text version of the abstract.

title:

abstract:

List of participants: Finally we should inform you that your name and the name of your institution will be put on the list of participants which will be publicly available in both printed and electronic form. If we do not hear from you to the contrary, we will assume that you consent to this.

If you have any questions feel free to send an email to knot2016@mpim-bonn.mpg.de.

Workshop on Knot concordance and 4-manifolds October 17-21, 2016

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