Form A
M7-NT-2404553	
	International Atomic Energy Agency		

Participation Form

International Training Course on State System of Accounting for and Control of Nuclear Material

Oak Ridge, TN, United States of America
12 –23 May 2025
To be completed by the participant and sent to the competent official authority (e.g. Ministry of Foreign Affairs, Permanent Mission to the IAEA, or National Atomic Energy Authority) of his/her country for subsequent transmission to the International Atomic Energy Agency (IAEA), Vienna International Centre, PO Box 100, 1400 Vienna, Austria, either electronically by email to: Official.Mail@iaea.org or by fax to: +43 1 26007 (no hard copies needed). Please also send a copy by email to the Scientific Secretary F.Jaffrennou@iaea.org and to the Administrative Secretary E.Voloshina@iaea.org.
Participants who are members of an invited organization can submit this form to their organization for subsequent transmission to the IAEA.
Family name: (e.g. Smith)
	First name(s): (e.g. John)
	Mr/Ms
	
Institution:

Full address:

For urgent communications please indicate:	Tel.:

Fax:

Email:
	
Nationality:

	Designating Government or organization:

Mailing address (if different from address indicated above):
	
Do you intend to submit a paper? 				Yes           No 
Would you prefer to present your paper as poster? 		Yes           No 
Title: