14th International Young Physicists’ Tournament
Registration Form for Jurors
1. Country			
2. Independent Member of Jury		
Title	First Name	Surname	Sex	Date of Birth	Passport Number	Special Food*	
							
3. Organization		
		
4. Arrival (recommended arrival day is Tuesday, 22nd May, 2001)		
Plane/Train/Car	Date	Time	Flight/Train No.	Railway station	
					
5. Departure (recommended departure day is Tuesday, 29th May, 2001)		
Plane/Train/Car	Date	Time	Flight/Train No.	Railway station	
					
6. Means of rapid contact		
Person			
Organization			
Postal Address		
	(State)/City			
	Postal Code			
	Street and No.			
Phone	(+….…)-………		
Fax	(+…….)-………		
E-mail			
7. Signature			
*Special Food, e. g. vegetarian