Antalya Algebra Days XIX Application Form Question Title * 1. Name*: Question Title * 2. E-mail*: Question Title * 3. Phone*: Question Title * 4. Address: Question Title * 5. Institution*: Question Title * 6. Department*: Question Title * 7. Status*: Undergraduate student Master's degree student PhD student BSc. MSc. Dr. Academic staff Other (please specify) Question Title * 8. Status II*: Student Employed Question Title * 9. Your advisor (if you are a student): Question Title * 10. Class (if you are a student): Question Title * 11. Do you have a support from an institution such as NSF, TUBITAK or a university to meet your expenses*? Yes No Question Title * 12. Your first choice of accomodation*:First price: If there is financial support from an organization (University, NSF, TUBITAK etc.)Second price: If there is no outside financial support. Dormitories (For 8 to 12 people) (For one person, 90/70 TL) I will take care of myself Question Title * 13. Your second choice of accomodation*:First price: If there is financial support from an organization (University, NSF, TUBITAK etc.)Second price: If there is no outside financial support. Dormitories (For 8 to 12 people) (For one person, 90/70 TL) I will take care of myself Question Title * 14. If any accompanying persons: Question Title * 15. Dates of your arrival*: Date / Time Date Question Title * 16. Dates of your departure*: Date / Time Date Question Title * 17. Sex*: Female Male Question Title * 18. Special wishes: Question Title * 19. Please indicate your preference*: I want to attend without a presentation The fact that you filled and sent this registration form means that you agree and comply with the conditions set by the Village. These conditions can be found at this address: http://matematikkoyu.org/eng/about/regulations.php Done