Student travel – IV Course 2017

I, (name)

(surname)

(approx. age: ; sex: MF)

arriving (yyyy/mm/dd)

accompanied by (name) at:

 Palermo Punta Raisi Airport Trapani Birgi Airport

at (time) flight no. from

I agree to share the room with (accompanying person)

I have the following special request

I need an official invitation letter to obtain the visa from the Italian Consulate  No Yes

Departure (yyyy/mm/dd) 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.