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School - Masterclass 2018

Clé de relation - NE PAS SUPPRIMER

Collected data will be only transmitted to organizers and managers of this event. They will be destroyed within 36 months after registrations will be closed.
According to the Data Protection Act of January 6th, 1978, you have at any time, a right of access, rectification and opposition to all of your personal data. To exercise this right, please send us an email at <contact at lebesgue.fr>.

Your identity

Mr. / Mrs. *

First Name *

Last Name *

Position (PhD student, postdoc, assistant professor...) *

University *

Professionnal email address *

Practical information

Reminder: the event Masterclass 2018 will be held from December 18th to December 20th.

Arrival date

Month

Day

Year

Departure date

Month

Day

Year

choose your session *

Hodge

probability

Invitation letter

I need an invitation letter for a visa

Financial support

Financial supports will be awarded prioritarily to students and young researchers.

Amount of money you are asking for travel (in €)

What kind of support are you asking regarding to accomodation?

Reimbursement of your accomodation costs (max: 40€ per day)

No reimbursement asked for

Curriculum vitae

Recommendation letter

Comments

Example: food, mobility...

Comments

Survey

The Center Henri Lebesgue will carry out a survey on the scientific impact of this semester within about three years.
It will contact you and propose you to answer this survey.

Partners

Affiliation