CONFERENCE ON

DISKS, PLANETESIMALS AND PLANETS

Puerto de la Cruz, Tenerife, Spain

January 24th - 28th 2000







UE GRANT APPLICATION FORM

DEADLINE NOVEMBER 7 1999
Lastname  ........:  
Firstname  ........:  

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Institution ..:  

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Phone ........:  
Example: +xx yy zzzzzz

Fax ..........:  
Example: +xx yy zzzzzz
Date of birth ..........:  
Example: dd/mm/yyyy
Citizenship   ..........:  
Short motivation of your application ......:
                
Do you intend to give a scientific contribution? Yes    No
                                                 Talk  Poster
Title(s)..........:
                


If you find any problem in filling this form, please contact the LOC by e-mail to planet@ll.iac.es

Last modified: Fri May 16 13:35:00 WET DST 1999