Application Form

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: Nuclear Astrophysics

Gender:
Name*: First Name*:

Date of birth*:

Nationality:

Professional Status:

Email Address*:

Telephone Number:

Name & Address of Institute:

Could you briefly summarize your available budget and your needs:

Date of first university graduation(or equivalent):

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:

Comments: