Application Form
		(Submission Deadline: June 8, 2001)

		SECOND INTERNATIONAL SCHOOL ON
	    FOUNDATIONS OF SECURITY ANALYSIS AND DESIGN 	
              Bertinoro, Italy, 17-29 September 2001


FAMILY NAME:
FIRST NAME:
MALE/FEMALE:
DATE OF BIRTH:
PLACE OF BIRTH:
NATIONALITY:

TITLE:
POSITION:
AFFILIATION:
ADDRESS:
ZIP CODE:
CITY:
STATE:
COUNTRY:

PHONE:
FAX:
E-MAIL:

RECOMMENDATION LETTER FROM:


FEES
----

Registration:           	 550 EUR
Accommodation (half board):      750 EUR
                                 -------
                               	1300 EUR

GRANTS
------

- Travel:

Using the most economical way of travelling, my travel costs amount to _____ EUR.
I hereby request a support for my travel expenses to the amount of     _____ EUR.

- Accommodation:

I request a support for my accommodation expenses to the amount of _____ EUR.

- Registration:

I request a support for my registration expenses to the amount of  _____ EUR.

Other sources will contribute to my expenses:

Travel expenses:	_____ EUR
Accomodation:		_____ EUR
Registration:		_____ EUR


Date ............  Signature .........................


			- REGISTRATION -

METHOD OF PAYMENT (in case of submission acceptance, due by June 30, 2001).

Bank transfer to:

Banca Popolare dell'Emilia Romagna
account number: 1052782 
account holder: Ce.U.B. Soc. Cons., via Frangipane 6, I-47032 Bertinoro (FO)
Swift Code: BPMOIT22 (for international bank transfer)
ABI 05387 CAB 67721 (for bank transfer within Italy)

Please, send a fax (+39-0543-446599) with the coordinates of your bank
transfer to Andrea Bandini.