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 	**  Vilem Mathesius Lecture Series 22/Companions Fall School ** 
 	**                    December 8-12, 2008  		     **
 	**	             Prague, Czech Republic		     **
        **	          http://ufal.mff.cuni.cz/vmc/               **
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 		   APPLICATION FORM


Please return the completed form by August 30, 2008 to:

Mrs. Anna Kotesovcova , e-mail: kotesovcova@ufal.mff.cuni.cz

or by fax:
VMC Lecture Series, C/o Mrs Kotesovcova, +420-221 914 309

** PERSONAL DATA

Surname:

First name:

Date of birth:

Citizenship:

Male/female:

Contact Address:

E-mail:

Phone:

** Position (University/Company)

Department:

Institution:

Street:

Postcode:

City:

Country:

Phone:

Fax:

**

Please answer the following questions:

1, Have you ever attended Vilem Mathesius Courses in the past?
   (If yes what was the last time?)

2, Are you an undergraduate? If yes, which faculty/discipline ?

3, Are you a graduate? If yes, which  topic of your PhD and who is your
supervisor?








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