"Complex Dynamics in Large-Scale Interacting Brain Systems: Towards Physical Models of Sleep and Consciousness" International seminar - June 08 - 25, 2009 International workshop - June 21 - 25, 2009 at the Max Planck Institute for the Physics of Complex Systems Dresden, Germany -------------------------------------------------------------------------------- Online Application Form -------------------------------------------------------------------------------- FOR APPLICANTS ONLY! Invited speakers please use the invited speakers registration form Title Of Courtesy: Mr. Title: Dr. Prof. Last Name: Akira First Name: Imada Date of birth: 06/26/1947 Nationality: Japan Organization: Institute: Department: Street and number: Postal Code: City: Country: Belarus Phone: Fax: Email: * Homepage URL: Preliminary arrival date: MM/DD/YYYY Preliminary departure date: MM/DD/YYYY General remarks: For example special diet, accommodation requirements, accompanying person(s), ... Seminar outline proposal *: * In order to structure the seminar and guide complementary interests we ask applicants for the seminar to provide an informal outline proposal (not more than one page) about the research question(s) they would like to work on and discuss with scientist from other disciplines during the seminar. Publications: A list of three of your most recent publications I would like to present a contributed talk during the workshop: Talk Title: Talk Abstract: I would like to present a poster during the workshop: Poster Title: Poster Abstract: Username: Do you want a computer account to be created for the time of your stay? It is necessary in order to have internet access if you do not bring your own laptop. If yes, please provide a username in the field above (up to 8 characters). Thank you very much for your application! You will receive an e-mail repeating the data you provided within some minutes.