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I wish to apply for a European grant to attend the High Level Scientific 
Conference :
 
XXXVIth RENCONTRES DE MORIOND
QCD AND HIGH ENERGY HADRONIC INTERACTIONS
Place :  Les Arcs, Savoie, France    Date : March 17-24, 2001
 
 
Name : ...............................................................
First name : .........................................................
Age : ..... Citizenship : ............................................
Professionnal status : ...............................................
University/Company : .................................................
Zip : ...... City : ..................  Country : ....................
Tel : ................................
Fax : ................................
E-mail : .............................................................
 
First University (or equivalent) graduation date : ............
Discipline : .....................................
Institution of graduation : ..........................................
Brief curriculum vitae since graduation : ............................
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Current or projected research activities and motives for wishing
to attend the Euroconference :
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Do you or your research group hold a grant from which
Euroconference participation could be funded?
Yes / No
Have you applied for a grant for this purpose from any other
body? Yes / No
If yes, what result : ................................................
 
Scientific publications of applicant (no more than 5, your best
or most recent)
Give title of paper, journal, volume and page numbers, authors.
 
1. ...................................................................
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I declare the above truthful and sincere. I do not expect to be
funded for Euroconference participation from other sources
except as above, and that if awarded a grant by the
Euroconference organisers, I will not cover any expenses from
more than one funding source.
 
Date : ....................    Signed :

 
Comments on benefit of participation from Supervisor, Department
Head, etc.
 
Name : ...................... Institution : ..........................
Position : .................. Relation with applicant : ..............
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Comments : ...........................................................
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Date : ..................... Signed :
 
 
Please return this form before December 30th, 2000 to
J. Tran Thanh Van - Rencontres de Moriond -
Universite de Paris-Sud - LPT - Batiment 210
91405 Orsay Cedex - France.
Fax : 33 (0)1 69 15 82 87
or by mail : MORIOND@TH.U-PSUD.FR
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