Family Name (Last name):
Given (First name):
Country of Citizenship:
Country of residence:
Types of financial assistance needed
1. Full registration fee waive.
2. 50% registration fee waive.
3. Free hotel room during the congress.
4. Free board during the congress.
You can check one or more than one boxes above. The committee of the 2004 ICP will offer you one or multiple financial support based on the information you provided.
Please also provide:
1. A recommendation letter of a national psychological organization.
2. The title of your oral presentation at the 2004 ICP.
Thank you for your participation in the 2004 ICP.
Please mail or fax these completed forms by February 1, 2004 to :
Dr. Qingfang Zhang, Institute of Psychology, Chinese Academy of Sciences, 10A Datun
Road., Beijing 100101, People's Republic of China.
Fax #: 86-10-64855830.
We will notify you about your financial assistance status as soon as we make the final decision by April 1, 2004.