Participation Form

International Training Course for Newcomer Countries on State Systems of Accounting and Control of Nuclear Material
Virtual Event – Online via Zoom
29 August–9 September 2022	
To be completed by the participant and sent to the competent national authority (e.g. Ministry of Foreign Affairs, Permanent Mission to the IAEA, or National Atomic Energy Authority) of his/her country for subsequent transmission to the International Atomic Energy Agency (IAEA) either by email to: Official.Mail@iaea.org or by fax to: +43 1 26007 (no hard copies needed). Please also send a copy by email to the Scientific Secretary M.Baldassari@iaea.org and to the Administrative Secretary M.Villa-Godinez@iaea.org.
Deadline for receipt by IAEA through official channels: 30 May 2022
Family name(s): (same as in passport)	First name(s): (same as in passport)	Mr/Ms	
Institution:	
Full address:	
Tel. (Fax): 	
Email:	
Nationality:	Representing following Member State/non-Member State/entity or invited organization:	
If/as applicable:
Do you intend to submit a paper?				Yes           No  
Would you prefer to present your paper as a poster?	Yes           No  
Title: