Registration Form Short Course on Nuclear Physics and

The Nelson Mandela African Institution of Science and Technology, Arusha, Tanzania
Registration Form
Short Course on Nuclear Physics and Materials 2015
Fill out the form, then scan/capture to send by email to head_mese@nm-aist.ac.tz.
First Name:
______________________
Last Name: _____________________________
Position:
_______________________________________________________________
Organization: _______________________________________________________________
Address:
_______________________________________________________________
Phone: ____________________________
E-mail: ________________________________
Note: This short course is offered at no cost to you as courtesy of NM-AIST. However, you
are responsible for your travel arrangement, accommodation and meals. Accommodation and
meals at affordable rate will be offered by NM-AIST. For more information, please contact
the estate department (revocatus.kalege@nm-aist.ac.tz). On-campus accommodation is
limited. Therefore, it will be first come first serve base.
For enquiry about the short course, please contact: Dr. Yusufu Jande (yusufu.jande@nmaist.ac.tz, +255655825866)
This workshop is organized by the Department of Materials & Energy Science and
Engineering and sponsored by the Nelson Mandela African Institution of Science and
Technology, the University of Saskatchewan, Tanzania Atomic Energy Commission,
and International Atomic Energy Agency.