APPLICATION FORM FOR TMR SUPPORT

Deadline Application Form for TMR Support: 15 June 1998
Deadline for notification of acceptance: 15 July 1998

Please fill in the form and submit it online using the "Submit" button. Your data will then be sent to the Conference Secretariat by E-Mail. However, submitting the form can't be confirmed by our server, but we will inform you immediately upon arrival of your TMR application data.

Personal data

  Mr Mrs    
Family Name: Street/P.O. Box:
First Name: City:
Title: Age: Zip Code:
Telephone: Country:
Fax:    
E-Mail:    


Place of Work

University/Industry Street/P.O. Box:
Institution: City:
Telephone: Zip Code:
Fax: Country:
E-Mail:    
       
Member of working
group of:		 Field of research:

Located in a less favored region according to the EC
yes no


Short professional CV


Itinary

Place of Departure:
Travel via:
Date of departure:
Date of return:
Approx. travel costs:


Remarks

Thank you very much for applying for TMR support!

 

In case of acceptance the travel costs will be reimbursed by presenting the original travel documents at the Conference. The registration fee needs not to be paid.