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 :
Neutrino Physics (Janury 5-11, 2023)
Gender:
?
Mr
Mrs
Last Name :
First name :
Date of birth :
Citizenship :
Professional status:
???
Dr.
Professor
Associate Professor
Post-doc
PhD student
Graduate student
Other
Institution :
E-mail :
Phone:
Postal address :
Could you briefly summarize your available budget and your needs :
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
