Associazione Italiana per gli Studi di Popolazione
Società Italiana di Statistica
e-mail: [email protected]; sito internet: http://www.sis-aisp.it
_______________________________________________________________________________________________________________________
c/o Società Italiana di Statistica, Salita de' Crescenzi 26 - 00186 Roma - Tel +39-06-6869845 - Fax +39-06-68806742
APPLICATION FORM
First name ______________________________ Last name ________________________________
City/State/Country of birth____________________________ date__________________________
Country of residence_______________________________________________________________
Full address of residence____________________________________________________________
Telephone number ________________ Cellular _____________________ Fax _________________
Email address ____________________________________________________________________
Full address to send the mail and other correspondence (if different from the residence one)
________________________________________________________________________________
Job affiliation (University, Department) _________________________________________________
Job position ______________________________________________________________________
Research fields ____________________________________________________________________
SIS-member (underline):
YES
Date_____________________________
Signature _________________________
NO