Classical and Quantum Integrable Systems Application Form

Classical and Quantum Integrable Systems
and their Symmetries

	Application form SECTIONS 1 TO 3 MUST BE COMPLETED
Section 1	Personal Details
Last Name
First Name
Title
Status
Email
Institution
Institution's Address
Postcode
Telephone
Special requirements	Please specify any special dietary or other requirements
Section 2	Accommodation Choose one of the following three options. Complete the arrival and departure dates only if you pick the second option.
	Please reserve me a single study-bedroom, lunch and evening meals at Heriot-Watt University I intend to arrive on Sunday 2nd December and leave on Saturday 8th December. Please reserve me a single study-bedroom, lunch and evening meals at Heriot-Watt University. I intend to arrive on (day) (date) and leave on (day) (date). I will arrange my own accommodation and evening meals.
Section 3	Financial Position Choose one option.
	I have sufficient funds to cover my Meeting Costs and Registration Fee, please invoice me. I wish to apply for financial support worth £250. I will pay the balance of the costs myself. Note that this support is available ONLY to those working in a UK university.
Case for support	Please state in about 250 words why you should be supported - why this workshop is relevant to your research and what you could contribute to the meeting. (If you are a graduate student, please include the name of your supervisor in your case for support.)