Organisation: …………………………………………………………………………….....…..

Department: ……………………………………………………………………………......…..

Address: ………………………………………………………………………………................

……………………………………………………………………..…..

Telephone: …………………………………………………………………………......……..

Fax: ……………………………………………………………………………......................…..

E-mail: ………………………………………………………………………..............………..

Contact person: …………………………..…………………………………………………..

and position held ………………………………………………………………………………..

 

Please attach a brief description of your organisation/department’s field of activity, including details of courses and numbers of academic staff. If an annual report is produced, this should also be included.

SIGNED …………………………………... DATE …………………...

Please send or fax to FIG office, Lindevangs Allé 4, DK-2000 Frederiksberg, Denmark
Fax: + 45 38 86 02 52; Tel: + 45 38 86 10 81; Email: FIG@ddl.org