XLIst Rencontres de Moriond

La Thuile 18-25 March 2006

Partial support from the European Union "Marie Curie" Programme is available for a limited number of scientists :
  • Doctorants (who started their thesis less than 4 years ago), without restriction on nationality
  • Young researchers (who started their thesis less than 10 years ago), without restriction on nationality.
  • Researchers who are nationals of a European Union member state ou Associated state, presently active outside of Europe, with more than 10 years of research activity.

    Member states presently are : Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxemburg, Malta, Netherland, Poland, Portugal, Slovakia, Spain, Sweden, United Kingdom.
    Associated states are : Iceland, Liechtenstein, Norway, Switzerland.
Application form
Ms Mr
Name :
First name :
Age :
Citizen :
Professional status :
University/Company :

Zip :
City :
Country :
Tel :
Fax :
E-mail :

First University (or equivalent) graduation date : (dd/mm/yyyy)
Discipline :
Institution of graduation :
Brief curriculum vitae since graduation (10 lignes):

Current or rejected research activities and motives for wishing to attend the conference (4 lignes):
Do you or your research group hold a grant from which conference 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.

I declare the above truthful and sincere. I do not expect to be funded for conference participation from other source expect as above, and that if awarded a grant by the conference organizers, I will cover any expenses from more than one funding source.
Date :
Signature :

The present application form should be full up, printed and signed by the doctorant, and sent to the conference secretary .

You can register your application form by submitting (botton hereafter 'register your application form'), but the signed document is necessary regarding to European Commission administration.