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Formal
registration is REQUIRED in order to enter Argonne's site. Please provide
the information below to your host or host's designate. Please realize this will only
"register" you for attendance at the meeting. If you require hotel
accommodations, you will need to call the Argonne Guest House.
Thank you.
You will need to bring your driver's license for entry to the Laboratory.
If you are
from a DOE Laboratory, please bring your badge with you. If you will be arriving Sunday,
please proceed directly to the guard gate. If you are arriving on a weekday, please stop at
the Argonne Information Center.
First Name:
Middle Initial:
Last Name:
Gender: Male or Female
University/Organization:
Title:
Department:
Business Address:
City, State, Zip:
Business Phone:
Business Fax:
E-mail Address:
Date of Arrival:
Date of Departure:
Citizenship:
Dual Citizenship:
NON-U.S. CITIZENS: The following must be completed.
Place of Birth (City, Country):
Date of Birth:
Legal Permanent Resident (green card holder): YES or NO
Legal Permanent Resident Number:
LPR Expiration Date:
IF YOU ARE A LEGAL PERMANENT RESIDENT HOLDING A GREEN CARD, NO OTHER INS-RELATED DATA (PASSPORT,
VISA, OR ALTERNATE CREDENTIAL) IS REQUIRED.
IF YOU ARE NOT A LEGAL PERMANENT RESIDENT, YOU MUST PROVIDE ANL WITH TWO FORMS OF IDENTIFICATION
(PLEASE READ BELOW):
Passport No.:
Country of Issuance:
Passport Expiration Date:
Visa Number:
Type of Visa:
Visa Expiration Date
IF YOU ARE UNABLE TO PROVIDE BOTH OF THE ABOVE FORMS OF IDENTIFICATION, AN ALTERNATE
CREDENTIAL DOCUMENT MUST BE OBTAINED. PLEASE CONTACT YOUR MCS HOST OR ADMINISTRATIVE CONTACT
FOR FURTHER INFORMATION.
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