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1. General information on the applicant
Title:  
Family Name:  
Given Name:  
Sex:  
Birth year:  
Citizenship:  
Current position:  
Institution:  
Institution address:  
Institution country:  
Telephone:  
Fax:  
E-mail:  
2. Scientific background and skills
Please describe in detail your present research activities, and how the attendance at the workshop will enhance the possibilities for your future research.
Please make a statement on the project topic you would like to pursue. If you are particularly interested in a certain theme, you are welcome to suggest a team project yourself.
You will attend oral lectures and computer based sessions. You will also participate to a team project involving the use of computers. Please specify your experience in working with computers (operating system, programming language, projects, etc.):
The working language for the course will be English. How would you rate your proficiency in English?
The following documents are attached to the application:
Recommendation letter. To be sent by your supervisor/head of department by email to
Publication list. To be completed below.
Publication list:
3. Accommodation, board, travel, financial support
The accommodation in shared double rooms is 25 Euro per day, breakfast included. Lunch plus dinner add 20 Euro per day. Students from countries outside the Central and Eastern Europe should be prepared to support a siginficant part of their expenses. All the applicants are encouraged to look for alternative funding sources, in particular faculty / institute staff members. Will you be able to cover some of your expenses?
YesNo
If 'Yes', what expenses can you support?  Accomodation
Board
Travel
If you require a single room, you will have to pay additionally 25 Euro per day. Do you wish to have a single room?
YesNo
Please indicate whether you have any dietary needs:  
A registration fee of about 30 Euro will be payable for each accompanying person, to cover the cost of the social program. Meals and hotel accommodation (shared room) can be arranged at an additional cost of 45 Euro per day.
Will you be accompanied?  YesNo
If Yes, please give the name(s) of accompanying person(s)  
Participants are expected to arrive on Monday, June 4th (afternoon) and depart on Saturday, June 16th (morning). If they would like to stay longer, arrangements should be made directly with the Hotel Cota 1400, at their own expense.
Arrival date:  (dd/mm/yyyy)
Mode of travel:   (including flight number if appropriate)
Departure date:  (dd/mm/yyyy)
Do you wish to apply for a travel grant?  YesNo
The section below only for those who answered 'Yes'
What will be your total travel cost, in Euro?  
What contribution will be made by your University?  
What contribution can you make yourself?  
Total you are seeking from the workshop organizers:  
If awarded, how would you like the travel grant to be paid?
By cheque  
Please give the address to which it should be sent  
By electronic transfer to your bank account  
Please give: bank name, bank address, IBAN or SWIF code, account holder, account number  
Cash reimbursment on-site (should be avoided, if possible)     Maximum 300 Euro, or the equivalent in Romanian currency
Please note that under COSPAR's rules travel grants cannot be paid before you have arrived at the workshop. Generally speaking, Institutes/Universities are willing to cover travel costs for this kind of purpose until a grant is paid. If you elect to have the grant paid by electronic transfer, this can usually be done within the duration of the workshop, whilst a cheque will be mailed from Paris.
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