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XXXVIIth RENCONTRES DE MORIOND
QCD AND HIGH ENERGY HADRONIC INTERACTIONS
http://moriond.in2p3.fr/QCD/2002/
Place :  Les Arcs, Savoie, France    Date : March 16-23, 2002

 
Partial support may be available for a limited number of young scientists
(up to 35 years old) who are nationals of a European Union Member State or
an Associate State, and active inside a Member State or an Associated State 
at the time ofthe event.
On 28/09/01, Member states are : Austria, Belgium, Denmark, Finland, France,
Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain,
Sweden, United Kingdom. 
Associated States are : Bulgaria, Cyprus, Czech Republic, Estonia, Hungary, 
Latvia, Lithuania, Poland, Romania, Slovakia, Slovenia, Iceland, Liechtenstein,
Norway, Israel.

I wish to apply for a European grant to attend the High Level Scientific 
Conference :

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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2. ....................................................................
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3. ...................................................................
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4. ...................................................................
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5. ...................................................................
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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, 2001 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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