Rencontres
de Moriond
2017

52nd - RENCONTRES DE MORIOND

La Thuile, Italy, March 2017

APPLICATION FORM FOR A GRANT
Deadline: 31st of January 2017
Some possibilities are available to help participants (from any country) with a grant covering living expenses (on a shared room basis). Candidates should fill in the form below.
Note that you should have sent your registration form before asking for a grant


Moriond Session  :
Gender:  Last Name : First name :
Institution :
E-mail :
 
Brief curriculum vitae :
Current or projected research activities and motives for wishing to attend the conference:
 
Scientific publications of applicant (no more than 5, your best or most recent)
Give : title of paper, journal, volume and page numbers, authors.

 
If the applicant is a doctorant then this form should be commented by the doctorant supervisor

Comments on benefit of participation from senior scientist (Supervisor, Department Head, etc.)
Name :
Institution :
Position :
Relation with the applicant :
Comments :