IEEE COMPUTER SOCIETY VISA REQUEST POLICIES Visa letters will be provided by IPDPS 2011 organizers and will only be issued to attendees who have paid their registration fees in full and are eligible to travel to Anchorage, Alaska in the USA. When you have completed your registration and paid your fees, provide the information requested below and email to Visa@ipdps.org. The Subject line of your email should include your last name as follows: (your last name) - IPDPS 2011 VISA REQUEST Visa letters will state only the facts: a. Conference title, dates and location b. That the requester has paid the required registration fee in full c. How you are participating: paper, speaker, or committee member Request for Visa Assistance (to attend) -------------------------------------- IEEE IPDPS 2011 May 16-20, 2011 Downtown Sheraton ANCHORAGE (Alaska) USA NAME Title: ___________ (Mr - Ms - Prof - Dr - Other) First & middle names: Last name (family name): Full name as it appears on passport: County of citizenship: AFFILIATION: (University, lab, company) Are you an IEEE Member? Yes _____ No _____ If yes, provide your IEEE Member Number: _______________ PARTICIPANT TYPE: (Author - Speaker - Committee Member) Paper Title: (Enter title of paper) Session or Workshop Name: (Name of session or workshop where you will be presenting) CONTACT INFORMATION: To what post office address should the letter be addressed? (If it is to be delivered to university address, include name and department) Address: Organization/residence: Street number and name: City: State/Province: Postal code: Country: May the letter be emailed or faxed to you rather than posted by snail mail? _____ Yes. If you require fax rather than email, be sure to include country and city codes below? _____ No, please mail. Fax number: Phone number: Please forward this completed form to: visa@ipdps.org Subject: (your last name) - IPDPS 2011 VISA REQUEST