The application form for participation
in “The international action of "The Saint-Petersburg state university" ("SPbSU") 
on the rights of "The Federal scientific centre of RF" and "The National research university of RF", 
the author of the unique cognitive modeling technology and the scientific direction "Cognitive computer science, 
cognitive modeling technology for the system and financial analysis" ("AUT CMT SFA") Vetrov A.N. 
due to means of the budget and interested natural persons and legal entities – 
the procedure of defence of the dissertation (in the form of scientific monography) on the rights of manuscript 
"The environment of automated training with the properties of adaptation based on the cognitive models" 
on the competition of scientific degree of the candidate of technical sciences 
on spec. 05.13.01 – "The system analysis, control and information processing" of "AUT CMT SFA" Vetrov A.N. 
with participation of the national and foreign members of "The dissertation council" of "SPbSU" 
for (non)residents at the international level 
with translation through the global network "Internet" and accommodation in "The hotel "Moscow"" ("The group of hotels "Intourist"")”
(it is filled by hand, since the 01st of May 2018 y. the list of members of “The dissertation council” is formed)

(the name of organization)

1. The organization ____________________________________________________________
____________________________________________________________________________

(the name of subordinated organization)

2. The subordinated organization _________________________________________________

(the name of division)

3. The division _______________________________________________________________

(the name of post)

4. The post __________________________________________________________________

(the name of scientific rank)

(the name of scientific degree)

5. The scientific degree ____________________ 6. The scientific rank ___________________

(Last name)

7. Last name _________________________________________________________________

(First name)

8. First name _________________________________________________________________

(Patronymic)

9. Patronymic ________________________________________________________________

(the country and index)

10. The work address __________________________________________________________

(the town and street)

_____________________________________________________________________________

 (the house and cabinet or office)

____________________________________________________________________________

(the work phone number)

(the work fax number)

11. The work phone ________________________ 12. The work fax ____________________

(the work address of el. information resource WWW)

13. The work address of el. information resource (WWW) _____________________________

(the work address of electronical post Email)

14. The work address of electronical post (Email) ____________________________________

(the country and index)

15. The home address __________________________________________________________

(the town and street)
(город, улица)

____________________________________________________________________________

                (the house and flat)
(город, улица)

____________________________________________________________________________

(the home phone number)

(the home fax number)

16. The home phone ________________________ 17. The home fax ____________________

(the home address of el. information resource WWW)

18. The home address of el. information resource (WWW) ____________________________

(the home address of electronical post Email)

19. The home address of electronical post (Email) ____________________________________

 (the codificator of UDC of question and (or) scientific report and (or) multimedia-presentation from the list of “"VINITI" of "RAS"”)

20. The UDC and the formulation of question and (or) the name of sci. report  and (or) multimedia-presentation

(the formulation of question and (or) the name of scientific report and (or) multimedia-presentation)

____________________________________________________________________________
____________________________________________________________________________

(necessary or not necessary)

21. The multimedia projector ____________________________________________________

22. The necessary add. equipment for the performance in “SPbSU”

(not necessary or the name of equipment)

____________________________________________________________________________

(the code of basic sciences, abbreviation from the list of sciences)

23. The basic sciences _________________________________________________________

(the code of basic area (branch), abbreviation from the list of areas (branches))

24. The basic area (branch) _____________________________________________________

(the code of basic section, abbreviation from the list of sections)

25. The basic section __________________________________________________________

(the code of additional sciences, abbreviation from the list of sciences)

26. The add. sciences __________________________________________________________

(the code of additional area (direction), abbreviation from the list of areas (directions))

27. The add. area (direction) _____________________________________________________

(the code of additional section, abbreviation from the list of sections)

28. The add. section ___________________________________________________________

(the code of post, abbreviation from the list of posts)

(the code of post, abbreviation from the list of posts)

29. The post in “SPbSU” _________________ 30. The post in “RA(N)S” ________________

(the code of post, abbreviation from the list of posts)

(the code of post, abbreviation from the list of posts)

31. The post in the other HEI ________________ 32. The post in the other AS _____________

(1-4 persons under the basic contract)

33. The own attendance personnel in “SPbSU” ______ and in the other organization ____

(1-4 persons under the additional contract)

34. The external attendance personnel in “SPbSU” _____ and the other organization ____

      (1-4 persons under the basic contract and 1-4 persons under the additional contract)

35. The quantity of the places in “SPbSU” _________________________________________

(the number of places)

(the quantity of slides)

(the number of section)

(the number of audience)

36. The audience ____ 37. The section(s) ____ 38. The place(s) _______ 39. The slide(s) ___

     (none or type of printer)

(none or type of channel)

(the number of notebooks)

(the number of PCs)

40. The PC(s) __ 41. The notebook(s) __ 42. The Net/Internet _____ 43. The printer (MJ, BJ, LJ) __

44. The necessary devices of multimedia for the demonstration in “SPbSU”

(not necessary or the name of device of multimedia: input, output, audio or video)

____________________________________________________________________________

45. The necessary special devices for the demonstration in “SPbSU”

(not necessary or the name of special device)

____________________________________________________________________________

      (1-5 persons under the basic contract and 1-4 persons under the add. contract)

46. The quantity of places in the number(s) of “The hotel "Moscow"” ____________________

     (1-5 persons under the basic contract and 1-4 persons under the additional contract)

47. The quantity of places on the buffet table _______________________________________
We ask to confirm Your arrival not later, 
than for two months prior to the beginning of the specified international action.

(the date (number), month and year)

(the signature of the member of “The diss. council”)

        “____” ____________ 20 ___ y. The member of “The dissertational council” of “SPbSU” _________