International mathematical union

INTERNATIONAL MATHEMATICAL UNION
13^th General Assembly, 1998
DRESDEN, Germany
Appointment of Delegations
You are hereby requested to designate the delegation of your country.
OBS: The appointment of delegations is the responsibility of the Adhering Organization

COUNTRY: _______________________________ GROUP OF ADHERENCE: ________________

ADHERING ORGANIZATION: _____________________________________________­­­­­___________

DELEGATES:
1. NAME: _____________________________________ E-MAIL: ______________________________

ADDRESS:__________________________________________________ FAX: __________________

2. NAME: _____________________________________ E-MAIL: ______________________________

ADDRESS:__________________________________________________ FAX: __________________

3. NAME: _____________________________________ E-MAIL: ______________________________

ADDRESS:__________________________________________________ FAX: __________________

4. NAME: _____________________________________ E-MAIL: ______________________________

ADDRESS:__________________________________________________ FAX: __________________

5. NAME: _____________________________________ E-MAIL: ______________________________

ADDRESS:__________________________________________________ FAX: __________________

ALTERNATIVES:
1. NAME: _____________________________________ E-MAIL: ______________________________

ADDRESS:__________________________________________________ FAX: __________________

This form should be filled in capital letters and should be returned, not later than March 1, 1998 to:
IMU Secretariat

IMPA - Instituto de Matemática Pura e Aplicada

Estrada Dona Castorina, 110 - Jardim Botânico

22460- Rio de Janeiro - RJ - BRASIL

FAX: (55) (21) 512-4115/4112 - E-MAIL: [e-mail]