Surname *  First Name*  Middle name* 


    Organization* 


          Position*   Title 


            Country   Town/City State 


  Zip/Post Code* 


          Address* 


       Tel.(office)*    Tel.(home)


                 Fax: 


           E-mail 1*    E-mail 2


   IAA Member*    Yes     No


                Age*    up to 35 years      over 35 years


          Student*    Yes      No


 Main topics* 
 ---Please, choose---
 1. Living and working in space
 - Human physiology: adaptation to microgravity and countermeasures
 - Behaviour, performance and psychosocial issues
 - Operational medicine
 - Extravehicular activity
 - Radiation health issues
 - Environment monitoring and control
 - Biological (cellular, plant and animals) researches
 - Spin offs
 2. Future of manned space flights: preparation to Lunar and Martian missions
 - Adaptation to long-term space flight conditions  and countermeasures
 - Radiation health issues and protection
 - Psychosocial issues
 - Habitats and environment health issues
 - Advanced life support systems
 - Planetary protection
 - Astrobiology
 3. Relation to the General Public
 - Education and outreach activities
 - Space tourism
 4. Papers in other related fields





    Title of the abstract (no more than 250 characters)

   
    



  Enter a list of the abstract authors and the serial number of organization

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    List of companies (name; city; country) in which authors of the abstract work
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  2  
  3  
  4  
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    Abstract (no more than 3200 characters)

   
    


    The desired format of your presentation**    oral    poster 
    **The organizers of the Symposium reserve the right to change the presentation format during the Abstracts selection



   Accompanying Persons


  Surname, first name  
                     Country   Town/City 



  Surname, first name  
                     Country   Town/City 



  Surname, first name  
                     Country   Town/City 



  Surname, first name  
                     Country   Town/City 



   Do you need a visa to enter Russia?*  Yes          No






  Please make sure that all the submitted information is correct.