REGISTRATION

GRANT APPLICATION FORM

(all fields marked with * are required)

Moriond session *

Family Name *

First Name *

E-mail *

Phone

Home institution *

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)

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

Yes, I already applied for the conference registration