Registration Form AMS-UMI Meeting, July 23-26, 2024 "*" indicates required fields PERSONAL DATAFirst Name and Last Name* First Name Last Name E-mail address* Insert e-mail address Confirm e-mail address Address* Address Line 1 Address Line 2 City Province ZIP Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Do you have an Italian "Codice Fiscale"?* Yes No Codice Fiscale* SSN / NIN / Your Identity Code Affiliation* PositionTenured or Tenure Track ProfessorPh.D. Student/ Post Doc/ Research FellowUndergraduateOtherSpecify "Other" ATTENDANCEI need an attendance certificate Yes No Days of attendance* July 23 July 24 July 25 July 26 Are you planning to give a talk in a special session? Yes No SOCIAL EVENTSClick here for more information.Are you planning to join the social event on July 23? yes no Is your partner planning to join this social event? yes no Appetizers at the Orto Botanico Price: Are you planning to join the social event on July 25? yes no Is your partner planning to join this social event? yes no Jazz Concert and Finger Food Price: Food Allergies and Dietary Restrictions PAYMENT OF THE REGISTRATION FEECategories* UMI or AMS member who is tenured at a university or research institute and was born by 31 January 1989 UMI and AMS member who is not tenured at a university or research institute or was born since 1 February 1989 Ph.D. Student who will take part in the II UMI Meeting for Ph.D.’s in Naples, June 2024 Not UMI or AMS member Total Additional notes or special requirements Privacy I agree to the UMI Events Privacy PolicyConsent List of participantsI agree to include my data (Name, Last Name and Affiliation) in the list of participants of the AMS-UMI Meeting, which will be published on the web site https://umi.dm.unibo.it/jm-umi-ams/participants/