Flyer/Useful Information: HTML format , PDF format , PS format

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Application to Register for the 2003 Summer School
On Information Security

Personal Name:
Family Name:
Email Address:
What organization are you associated with?
What is your postal address?
Telephone number:
Country of residence:

Please choose the most appropriate category for your regisration:

U.S. Student .............. You will need to provide proof of student status
Non-U.S. Student .............. if you select either of the student categories
Academic, governmental,
or non-profit corporation

Which courses would you like to attend?

Introductory Class
Main Class

Do you want to appear in the printed (non-electronic) list of attendees?


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The list of countries is from ISO 3166, found at

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