8th International Summer School and Conference "Let's Face Chaos through Nonlinear Dynamics" 26 June - 10 July 2011 ----- Dedicated to the 65th Birthday of Professor Predrag Cvitanovic ----- CAMTP - Center for Applied Mathematics and Theoretical Physics University of Maribor, Maribor, Slovenia APPLICATION FORM Please fill in this form and send it to Prof. Marko Robnik at the e-mail address: chaos@uni-mb.si Hereby I apply for the participation at the 8th International Summer School and Conference "Let's Face Chaos through Nonlinear Dynamics" to take place at CAMTP University of Maribor on 26 June - 10 July 2011. NAME: SURNAME: SEX: female/male (delete inappropriate) TITLE: Mr. Mrs. Dr. Prof. Acad. Sir (delete inappropriate) STATUS: undergraduate student, graduate (PhD) student, postdoc, junior researcher, senior researcher, Professor (delete inappropriate) E-MAIL ADDRESS: CITIZENSHIP: COUNTRY AND TOWN OF CURRENT RESIDENCE: FULL POSTAL ADDRESS (Street + No, Postal Area Code, Town, State): TELEPHONE: TELEFAX: EXPECTED DATE OF ARRIVAL (normally this should be Sunday 26 June 2011): EXPECTED DATE OF DEPARTURE (normally this should be Sunday 10 July 2011): I SHALL PARTICIPATE AND WISH TO PRESENT 0-1-2 POSTERS AND 0-1 SHORT REPORT. (delete inappropriate numbers: you can present no=0 communications, or 1 short report (20 minutes), or 1 poster, or 1 short report (20 minutes) plus 1 poster, or 2 posters and no short report) THE TITLE(S) WITH THE ABSTRACT(S) ARE ENCLOSED BELOW. THE TOTAL PARTICIPATION FEE AMOUNTS 1200.-EUR (BEFORE 20 MAY 2011) OR 1450.-EUR (AFTER 20 MAY 2011) AND COVERS ALL EXPENSES: ACCOMMODATION, ALL MEALS, DRINKS, TEA & COFFEE, TICKETS FOR ALL PERFORMANCES, BANQUETS, RECEPTIONS, CONCERTS, WINE TASTING, THE TOUR THROUGH THE CITY OF MARIBOR AND THE REGISTRATION FEE: EVERYTHING EXCEPT THE EXCURSION ON SUNDAY 4 JULY 2011. THE PAYMENT OF PARTICIPATION FEE (Please delete inappropriate option): OPTION ONE: The advance payment of 600.-EUR/850.-EUR (delete inappropriate) shall be paid by a bank transfer on DD/MM/YY (please insert date), the rest 600.-EUR in cash upon my arrival and registration. OPTION TWO: The total payment of 1200.-EUR/1450.-EUR (delete inappropriate) shall be paid by a bank transfer on DD/MM/YY (please insert date). THE BANK ACCOUNT AND ADDRESS OF THE RECEIVING BANK: Center za upor. mat. in teor. fiz. CAMTP Krekova 2, SI-2000 Maribor, Slovenia Beneficiarie's Bank Institution: NOVA KREDITNA BANKA MARIBOR d.d. Vita Kraigherja 4 SI-2000 Maribor, Slovenia International Bank Account number (IBAN): SI56045150000891647 SWIFT code: KBMASI2X PLEASE SEND A COPY OF THE BANK TRANSFER ORDER TO THE FAX NUMBER OF CAMTP +(386) (2) 2355 360 AND CLEARLY INDICATE YOUR NAME AND SURNAME, AS WELL AS THE PURPOSE: PARTICIPATION FEE FOR THE SUMMER SCHOOL AT CAMTP PLEASE MAKE SURE THAT YOU HAVE PAID ALL BANK TRANSACTION FEES, SO THAT WE SHALL RECEIVE THE FULL AMOUNT OF THE TRANSFERRED SUM. IF YOU DO NOT DO THAT, THE TRANSACTION FEE AT RECEIVING CAN BE AS MUCH AS UP TO 50.-EUR PER ONE SINGLE TRANSACTION. FINANCIAL SUPPORT (apply no later than 22 April 2011) I wish to apply for financial support and enclose my C.V., list of publications below, whilst two letters of recommendation will be e-mailed to Prof.Dr. Marko Robnik, Director, at: chaos@uni-mb.si THE TITLES AND ABSTRACTS OF MY COMMUNICATIONS: Please use this template as LaTeX and fill in your data. The style of writing the references is like for J. Phys. A: Math. Theor. ABSTRACT 1 (SHORT REPORT or POSTER) (delete inappropriate) \documentclass[a4paper,12pt]{article} \voffset=-2cm \hoffset=-0.5cm \textwidth=15cm \parindent 0pt \parskip 2ex \pagestyle{empty} \begin{document} \begin{center} {\bf THIS IS THE TITLE OF MY SHORT REPORT/POSTER}\\ \end{center} \begin{center} {\bf Name1 Surname1, Name2 Surname2,...and NameM SurnameM}\\ {\em Institution1, Address1\\ Institution2, Address2\\ InstitutionN, AddressN}\\ \end{center} This is the text of my abstract. {\bf References}\\ Surname1 N1, Surname 2, N2,...and SurnameLast NL Year {\em Journal name} {\bf Volume number} page(s)\\ Robnik M and Prosen T 1997 {\em J. Phys. A: Math. Gen.} {30} 8787 \end{document} ABSTRACT 2 (POSTER) \documentclass[a4paper,12pt]{article} \voffset=-2cm \hoffset=-0.5cm \textwidth=15cm \parindent 0pt \parskip 2ex \pagestyle{empty} \begin{document} \begin{center} {\bf THIS IS THE TITLE OF MY POSTER}\\ \end{center} \begin{center} {\bf Name1 Surname1, Name2 Surname2,...and NameM SurnameM}\\ {\em Institution1, Address1\\ Institution2, Address2\\ InstitutionN, AddressN}\\ \end{center} This is the text of my abstract. {\bf References}\\ Surname1 N1, Surname 2, N2,...and SurnameLast NL Year {\em Journal name} {\bf Volume number} page(s)\\ Robnik M and Prosen T 1997 {\em J. Phys. A: Math. Gen.} {30} 8787 \end{document} ENCLOSURE: IN CASE OF APPLYING FOR FINANCIAL SUPPORT PLEASE ENCLOSE HERE YOUR C.V. AND LIST OF PUBLICATIONS IN PLAIN ASCII FORMAT. THE TWO LETTERS OF RECOMMENDATION SHOULD BE SENT DIRECTLY BY E-MAIL TO PROF. MARKO ROBNIK AT chaos@uni-mb.si IN CASE OF APPLYING FOR THE PRESENTATION OF YOUR SCIENTIFIC COMMUNICATIONS YOU MIGHT WISH TO DO THE SAME (SENDING C.V., LIST OF PUBLICATIONS, AND ARRANGE FOR TWO LETTERS OF RECOMMENDATION TO BE SENT TO chaos@uni-mb.si), ALTHOUGH IT IS NOT STRICTLY REQUIRED.