GRANT APPLICATION


Some limited accommodation funds may be available for young scientists. Candidates should fill in the form below.
Note that you should have sent your registration form before asking for a grant



Conference  : CIMPA Research School - Noncommutative Geometry and Applications to Quantum Physics (July 12-22, 2017)   
Gender:  Last Name : First name :
Date of birth :
Citizenship : Professional status: 
Institution :
E-mail :
Phone:
Postal address :
 
Date of first university (or equivalent) graduation:
Discipline:
Graduated at:
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 :

In case of problem with this form, please contact Jacques Dumarchez