Please fill out the form and send to Email: or or by fax to +82-53-950-6359 -------------------------------------------------------------------------------------------- REGISTRATION FORM FOR PARTICIPANTS APCTP Winter School on Black Hole Astrophysics 2006 at APCTP (Pohang, KOREA) 17-20 January 2006 Last name:.............................. First name:.................................. Professional status: ............................................ Nationality: ........................ Sex: ....................... Affiliation: ............................................................. Email : ................................................................... Tel:......................... Fax:.............................. Postal address: .............................................................................. .............................................................................. .............................................................................. Arrival Date : ................................ Departure Date : .......................... Do you have any extra guests? If so, how many? .... Your preferred accommodations: Faculty Apartment ( ) (I want to share with [.........]. If blank, one will be assigned.) Sangnam Guest House ( ) Student Dormitory ( ) Yongildae-Hilton Hotel ( ) (I want to share with [.............].) We need a passport number (for foreign participants) or a national registration number (for Korean participants) to receive a security-pass for the building from POSTECH: No ........................... If you want to present a talk (or poster), please give us the title and the abstract: Title: ............................................................................. Talk/Poster: Talk ( ), Poster ( ) Abstract: ............................................................................. ............................................................................. ............................................................................. Second Talk: Title: ............................................................................. Talk/Poster: Talk ( ), Poster ( ) Abstract: ............................................................................. ............................................................................. ............................................................................. Do you ask for the waiver of registration fee? Yes ( ) No ( ) Do you ask for the travel support? Yes ( ) No ( ) This limited support is available for participants from member countries. Please let us know if you have special reasons. ............................................................................. ............................................................................. ............................................................................. ............................................................................. Do you need an invitation letter for visa application? Yes ( ) No ( ) Do you have any special requests? ............................................................................. ............................................................................. ............................................................................. Please return this Registration Form to: Email: or Fax: 82-53-950-6359 Postal address: Prof. Myeong-Gu Park Dept. of Astronomy and Atmospheric Sciences Kyungpook National University Daegu 702-701, KOREA