K2K MEMBER REGISTRATION / UPDATE

Use this form to register as a K2K member, or to correct previously submitted info.
(If correcting previously entered data, you must fill in all items again.)

Family Name: 
(Western-style "last name")

R

Given Name 1: 
("first name")

R

Given Name 2: 
("Middle name or initial")
Note: your name will be listed as

Lastname, Firstname M. , or 
F. M. Lastname 


 Leave as preset ("-") if none
 If you enter middle initial only, do
not enter "."

Gender: M   F  

Country  (R)
(of institute, not citizenship):

R

Institute or University:

R

E-mail:

R

Phone:

Fax:

Starting Date:
(Date your membership in K2K began)
--  (yyyy-mm-dd)

Interests (1kT, SciFi, etc):

   

 


View registration data file.

R J Wilkes, 2004-Jun-01