Date:           
                (mm/dd/yyyy, eg. 05/15/1999)

Contact Name 1: 
Department:     
                (eg. "Department of Mathematics")
Institution:    
                (eg. "Peking University")
Address1:       
Address2:       
Address3:       
City:           
State:          
Postal Code:    
Country:        
Email Address:  
Phone:          
Fax:            

Contact Name 2: 
Department:     
                (eg. "Department of Mathematics")
Institution:    
                (eg. "Peking University")
Address1:       
Address2:       
Address3:       
City:           
State:          
Postal Code:    
Country:        
Email Address:  
Phone:          
Fax:            

Name of conference:           
                              
Dates of conference:     from  to 
                              (mm/dd/yyyy, eg. 04/23/1999)
Support requested:
(in US$)                      

Letter of request:       
Please type your letter requesting CDE support in this space.  Alternatively, you may copy/paste a text file into this space.  Please do not send a TeX file, as we need easy-to-send files.  Please delete this text before submitting your application.


Description/Explanation: 
Please type a description/explanation of the conference in this space.  (This description/explanation must also include a detailed scientific program [including organization of the conference: plenary lectures, parallel sessions, etc.], a list of invited speakers [specifically those who have accepted to attend the conference: Name-University-Country], and details of the relevance of the conference for neighboring countries and on the participation of the mathematicians thereof.) Alternatively, you may copy/paste a text file into this space.  Please do not send a TeX file, as we need easy-to-send files.  Keep in mind that one can say a lot without using symbols.  Please delete this text before submitting your application.


Budget:                  
Please type the conference budget into this space.  (This section must also include a list of supporting organizations [with amount of support], the total budget of the conference, the amount of support requested from the CDE and a statement on the intended use of this support.) Alternatively, you may copy/paste a text file into this space.  Please do not send a TeX file, as we need easy-to-send files.  Please delete this text before submitting your application.


Curriculum Vitae of main conference organizer:        
Please type your curriculum vitae (max. 4 pages) into this space.  Alternatively, you may copy/paste your c.v. (max. 4 pages) into this space as a plain text file.  Please do not paste a TeX file into this space, as we need easy-to-send files.  Keep in mind that one can say a lot without symbols.  Please delete this text before submitting your application.


Curriculum Vitae of conference co-organizer:        
Please type your curriculum vitae (max. 4 pages) into this space.  Alternatively, you may copy/paste your c.v. (max. 4 pages) into this space as a plain text file.  Please do not paste a TeX file into this space, as we need easy-to-send files.  Keep in mind that one can say a lot without symbols.  Please delete this text before submitting your application.