Last name, name

Date and place of birth

Name and address of the University and date of it graduation

Highest academic degree (date and institution)

Main work activity

Subject area of highest degree

Professional identification

Contribution to acoustics (attach a list of 5 main publications, patents etc.)

Fields of interest (select 3 any):

	Acoustical Measurements and Standards		Musical Acoustics
	Acoustics in High School		Noise and Vibration
	Aeroacoustics		Ocean Acoustics
	Applied Linguistics in Acoustics		Optoacoustics
	Architectural and Building Acoustics		Physical Acoustics (Nonlinear acoustics included)
	Atmosphere Acoustics		Speech Communication
	Bio-, Psycho- and Medical Acoustics		Ultrasound and Ultrasound technology
	Electroacoustics		Wave Propagation and Diffraction
	Geological Acoustics

Name and address of the institution (zip code)

Position

Names and addresses of three references, preferably members of the Russian acoustical society. For students - the sign of his/her superviser

Business phone, Fax and e-mail

Home address (zip code), phone

Contact address, fax, e-mail for correspondence

Your preposition on RAS activity

Date