Fifth Brazilian Conference on Statistical Modelling in Insurance and
    Finance
         

Fifth Brazilian Conference on Statistical
Modelling in Insurance and Finance

Maresias, April 10-15, 2011, Brazil

http://www.ime.usp.br/bcsmif     email: bcsmif@ime.usp.br



ON-LINE REGISTRATION FORM

Attention: If you have already registered and want to change your data, click here.

Complete the following registration form upon submission of your abstract, but not later than March 31th, 2011. Please, do not register more than once!

Upon request, you will receive a confirmation/invitation to be used to get a visa from the local Brazilian consulate.


PERSONAL DATA
Name *
Last Name *
Sex *
Birth Date *  /  / 
Country *
RG (Brazilians only)
CPF (Brazilians only)
Passport Number (Foreigners only)
Expiration Date (Foreigners only)  /  / 
Password (For future changes) *
Confirm password *
 
PROFESSIONAL DATA
University Degree *
Position *
Institution *
Department
Full Address *
Phone + ()
Fax + ()
E-mail *
Title of your talk
and preferable Topic
Type of communication *
Which equipment do you need for your talk? Give details.
Which short course would you like to attend? * Scherer      Touzi      Tankov
Roos   Belitsky
Do you intend to present a software?
 
ACCOMMODATION DATA
Do you accept to share a room? *
Do you need a special diet?
 
PARTICIPATION DAYS
Days that you intend to participate *
April 10   April 11   April 12
April 13   April 14   April 15
Select all
 
TRAVEL INFORMATION
Arriving time in Sao Paulo or Rio de Janeiro (Foreigners only)
Arriving in
Flight
Date  /  / 
Time  : 
Departure time (Foreigners only)
Departure from
Flight
Date  /  / 
Time  : 
Do you intend to use a bus from São Paulo to Maresias? *
Do you plan to be accompanied?
 
* Required fields.