A. Personal data
	*Family (Last name) *Name (First name) *Middle name *Date of birth     *Home address Home telephone     Mobile phone *E-mail

B. Business information (for employee)
	*Unemployed Employee         graduate and postgraduate students should indicate their official workplace (if exists) *Organization         Department *Position Manager Designer Consultant Distributor Researcher Teacher Professor Head of Dept. Dean Director Other...     *Academic degree Bachelor Master Postgraduate Cand.Sc. Dr.Sc. Dr.habil. No degree Other... *Academic title Assistant Professor Associate Professor Professor Senior Scientist Academician Other... Years in last position Postal address (business)         Telephone Fax *E-mail

C. Academic information (for students)
	*Not a student Student         *University/Colledge TU Chemnitz TU Dresden University of Ulsan KAIST Harbin Politech. Uni. Warszawska Politechn. Inst. Politech. di Milano Kumamoto University Other...         *Faculty *Course 1 2 3 B.Sc. student M.Sc. student 1st year M.Sc. student 2nd year Ph.D. student Academic program Postal address (of university)         Telephone Fax E-mail

D. Purpose for submitting the application (may be more than one)
	1. Publication of paper in the volume of proceedings 2. Personal visiting NMST-2016 - Presentation of results as a scientific report - Presentation of company and/or production - Presentation of scientific or academic organization - Personal relaxation Kind of participation: Sport games Swimming/riding Walking

E. Main topic of your paper (by sections): *
	1. Nanotechnologies. 2. Nanopowders. 3. Micro/Nanosystems Technologies.

F. Other information
	*Is it necessary to have the volume of proceedings NMST-2016? No Yes, one copy Yes, the number of copies is:   Medical insurance valid in Russia: Exists Absent Emitent of medical insurance Kind of Your presentation Multimedia Slides Movie