IAU Symposium/Colloquium No.:
Title of meeting:
Location (city, country):
Dates of meeting:
Name of applicant:
Position:
Address, Telephone, Telefax:
E-mail:
Starting point of journey (if different from home address):
Type of contribution (e.g. review talk, thesis presentation, ...):
Title of contribution:
Total amount of IAU support applied for (CHF):
Subtotal for travel (max.: economy air fare or equivalent):
Subtotal for subsistence (if no other funds available):
Other sources of support applied to:
Amount requested/granted:
Today's date:
For Ph.D. students:
Name of Thesis Director/Supervisor:
Institution:

This form should be submitted to Dr. Michael F. A'Hearn by February 1, 1998 (see Guidelines for IAU Travel Grants).