1. Name of the meeting :

2. Location and dates :

3. Requested fixed sum, total : Euro

3.1. For invited scientists : Euro

Give for each scientist (if already known) name, country, amount and purpose of financial support :

Are there similar known or expected grants from co-sponsors?

3.2. For young scientists : Euro

(see Section 4 (3) of the Guidelines and Rules for Sponsorship)

a) Number of young scientists from
- developing countries : Euro
- industrialized countries : Euro

b) Is the registration fee waived or reduced for :
- young scientists?
- students?

c) Are there similar known or expected grants from co-sponsors?

4. URSI is requested to transfer the above mentioned sum to :

Name of beneficiary :
Address of beneficiary :
Bank account number :
Name of bank :

Branch and code of bank :
Full address of bank :

Communication (on bank transfer) for beneficiary :

This form was filled in by :
Name :
Fax
E-mail
Date : Signed

Please fill in this form (on screen), print it, sign it and return it to :

Links to :

Links to :

• ICSU Statement on Freedom in the Conduct of Science
• Rules for URSI-sponsored meetings
• FORM 1 (due for modes A, B and C), downloadable form in MS Word 97
• FORM 3 (loan - due for mode C), downloadable form in MS Word 97
• FORM 4 (report of a scientific meeting), downloadable form in MS Word 97
• FORM 5 (financial report - due for modes B and C), downloadable form in MS Word 97
• URSI General Assemblies