Application form for EC support under the "Human Potential Programme: High Level Scientific Conferences"
I wish to apply for an EC grant to attend the event.
Name: Surname: Professional Status: University / Institution: Country: Age: Country of Citizenship: E-mail:
Age limit of 35 years at the time of the event: YES NO
The Organizers encourage applications from the following target groups: Researchers whose place of work is in a less-favoured region of the EU: YES NO
* EU Member States: Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, The Netherlands, Portugal, Spain, Sweden, United Kingdom. * Associated States: http://www.cordis.lu/fp5/src/3rdcountries.htm * Nationals of third countries may be supported if they have been residing in the Community (Member States of the EU) for at least five years immediately prior to the starting date of the event in which they participate.
Any other comment to support your application:
I declare the above to be truthful and sincere. I will not cover any expenses related to my participation in the Symposium Galileo 2001, and granted by the organizers, from other funding sources.
Date:
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