Financial support is available for young (<= 35 years)
scientists who are citizens of a European Union member state or
citizens of Iceland, Israel, Lichtenstein or Norway. The financial
grant covers the leaving expenses (Hotel+meals) during the
meeting. The travel expenses can be partially covered
in a limited number of cases.
Please apply as soon as possible.
Please return this form before November 30th, 1999 to:
J. Trân Thanh Vân - Rencontres de Moriond
Université de Paris-Sud
LPTHE - Batiment 211
91405 Orsay Cédex - France.
Fax : 33 (0)1 69 15 82 87
I wish to apply for a Training and Mobility of Researchers grant to attend the Euroconference : XXXIIIrd RENCONTRES DE MORIOND Fundamental Parameters in Cosmology Place : Les Arcs, Savoie, France Date : January 22-29, 2000 Name : ............................................................... First name : ......................................................... Date of birth : ............ 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 : ............................ ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... ...................................................................... Current or projected research activities and motives for wishing to attend the Euroconference : ....................................................................... ....................................................................... ....................................................................... ....................................................................... ....................................................................... ....................................................................... ....................................................................... ....................................................................... ....................................................................... 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 (not more than 5, your best or most recent) Give title of paper, journal, volume and page numbers, authors. 1. ....................................................................... .......................................................................... 2. ....................................................................... .......................................................................... 3. ....................................................................... .......................................................................... 4. ....................................................................... .......................................................................... 5. ....................................................................... .......................................................................... I declare the above truthful and sincere. I do not expect to be funded for Euroconference participation from other sources except as above, and if awarded a grant by the Euroconference organisers, I will not cover any expenses from more than one funding source. Date : ........................ Signed : N.B. Travel funds are not available Comments on benefit of participation from senior scientist (Supervisor, Department Head, etc.) Name : .................................................................... Institution : ............................................................. ........................................................................... Position : ................................................................ Relation with applicant : ................................................. Comments : ................................................................ ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... ........................................................................... Date : ...................... Signed :