The application form for participation 
in “The international action of the author of the unique cognitive modelling technology 
and the scientific direction "Cognitive computer science, cognitive modeling technology 
for system and financial analysis" ("The AUT CMT SFA"), academician of "The RA(N)S" A.N. Vetrov, 
"The International Higher education academy of sciences" ("The IHEAS"), "The Russian academy of (natural) sciences" ("The RA(N)S"),
"The SIO "Academy of cognitive natural sciences"" ("The SIO "ACNS""),
The Administration of Saint-Petersburg city and The Government of The Russian Federation (RF) 
at support of The President of The RF due to means of the budget of The RF – the procedure of the performance with the scientific reports, the presenters of diplomas to the experts, candidates, doctors and academicians of sciences in "The RA(N)S", 
the demonstrations of achievements in the field of science, technology and education 
in "The All-Russian exhibition center" ("The AREC") at "The Exhibition-fair of achievements of the national economy" ("The EANE") 
with the hotel accommodation "Cosmos" ("Intourist hotel group")” 
(it is filled by hand, since the 27th of December 2011 y. the list of reporters is formed)

(the name of organisation)

1. The organisation _______________________________________________________________
_______________________________________________________________________________

(the name of subordinated organisation)

2. The subordinated organisation ____________________________________________________

(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 _____________________

(the first name)

7. The first name _________________________________________________________________

(the middle initial name)

8. The middle initial name _________________________________________________________

(the last name)

9. The last name _________________________________________________________________

(the country and index)

10. The work address _____________________________________________________________

(the town and street)

(число, месяц, год)                                                                                                         (подпись)

_______________________________________________________________________________

 (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 E-mail)

14. The work address of electronical post (E-mail) ______________________________________

(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 E-mail)

19. The home address of electronical post (E-mail) ______________________________________

 (the codificator UDC of scientific report from the list of “The VINITI RAS”)

20. The UDC and the name of scientific report _________________________________________

(the name of scientific report)

_______________________________________________________________________________
_______________________________________________________________________________

(necessary or not necessary)

21. The multimedia projector _______________________________________________________
22. The necessary add. equipment for the performance in “The RA(N)S”

(not necessary or name of equipment)

_______________________________________________________________________________

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

23. The sciences in “The RANS” ____________________________________________________

                                       (the code of direction, abbreviation from the list of directions)

24. The direction in “The RANS” ___________________________________________________

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

25. The section in “The RANS” _____________________________________________________

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

26. The sciences in “The RAS” _____________________________________________________

                                 (the code of branch, abbreviation from the list of branches)

27. The branch in “The RAS” ______________________________________________________

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

28. The section in “The RAS” ______________________________________________________

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

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

29. The post in “The SIO "ACNS"” ________ 30. The post in “The SRI "SFA CMT"” _________

(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 SF "SFA CMT"” ________ 32. The post in “"The SPbEC" at "The EAST"” _________

(1-4 persons under the basic contract)

33. The own attendants in “The RA(N)S” _____________ and at “The EANE” ______________

         (1-4 persons under the additional contract)

34. The external attendants in “The RA(N)S” ___________ and at “The EANE” _____________

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

35. The quantity of the places in “The AREC” at “The EANE” ____________________________

(the quantity of posters)

(the quantity of places)

(the number of section)

(the number of pavilion)

36. The pavilion ____ 37. The section(s) ____ 38. The place(s) _______ 39. The poster(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 multimedia devices for the demonstration at “The EANE” 

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

_______________________________________________________________________________

45. The necessary special devices for the demonstration at “The EANE”

(not necessary or name of special device)

_______________________________________________________________________________

      (1-5 pers. under the basic contr. and 1-4 pers. under the add. contr.)

46. The quantity of the places in the number(s) of the hotel “Cosmos” _______________________

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

47. The quantity of the places on the buffet table at the restaurant of the hotel ____________________________
 We ask to confirm Your arrival not later, 
than for two months prior to the beginning of the current international action.

(the date (number), month and year)

(the signature of reporter)

        “____” __________________ 201 ___ y.	The reporter ____________________________