Travel Form – Student – III Course 2016

I, (name) (approx. age: ; sex: MF)

shall arrive on (date)

accompanied by (name) at:

 Palermo Punta Raisi Airport Trapani Birgi Airport

at (time) flight no. from

I agree to share the room with (another student)

I have the following special personal request

I need an official invitation letter to obtain the visa from the Italian Consulate

I shall leave on (date) from:

 Palermo Punta Raisi Airport Trapani Birgi Airport

at (time) flight no. to


I have carefully read and agree to General Information.
If for any reason I have to cancel my participation I will inform the Conference Scientific Secretary as soon as possible by e-mail in order to allow another candidate to participate.