Lattice 2025

3-8 November 2025

TIFR, Mumbai

Asia/Kolkata timezone

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Pre-Registration Form

Personal Data

Information required for pre-registration

Title

First Name *

Surname *

Position

Institution *

Address

City *

Country *

Phone

(+) 999 99 99 99

Fax

(+) 999 99 99 99

Email *

Personal homepage

Father/Husband Name *

Date of Birth *

DD/MM/YYYY

Place of birth *

Nationality *

Passport Number *

Date of Issue of Passport *

DD/MM/YYYY

Place of Issue of Passport *

Date of Expiry of Passport *

DD/MM/YYYY

(All the fields marked with * are mandantory)