Trieste, September 1995
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APPLICABLE ONLY FOR CANDIDATES FROM THE EUORPEAN AREA
Requiring Financial Support under the
European Commission's "Human Capital and Mobility" Programme
The International Centre for Theoretical Physics gratefully
acknowledges support from the European Commission, to help young scientists
(age up to 35 for men and 40 for women) from the European Economic Area to
participate in the Workshop on Dynamics of Non-Equilibrium systems (19 - 30
August 1996). Upon receipt of this application form, the ICTP will submit
your name for some financial assistance. The outcome of selection for
grants will be known only nearer the time of the event and,should you be
one of those selected for support, we shall let you know immediately. The
decision of the selection committee will be communicated to all candidates.
Please note that candidates who qualify for this support and who are
currently studying/working ouside the EEA cannot receive travel expenses,
but will be eligible for living expenses.
To qualify one must either be a citizen of a European Economic Area State
or be residing and working in an EEA state for at least one year.
European Economic Area: Austria, Belgium, Denmark, Finland, France,
Germany, Greece, Iceland, Ireland, Italy, Luxembourg, The Netherlands,
Norway, Portugal, Spain, Sweden, United Kingdom.
_______________________________________________________________________________
I wish to apply for a Human Capital and Mobility grant to attend the
Workshop on Dynamics of Non-Equilibrium Systems (19 - 30 August 1996).
Surname:
Name:
Age:
Nationality:
--------------------------------------------------------------------------
Are you a European citizen of a member state country ? Yes No
Are you residing and working in a member state ? Yes No
if yes, (i) how long have you been there? ___________________
(ii) how long is your stay there forseen? ________________
Professional status:
First University (or equivalent) graduation date:
Discipline:
Institute of graduation:
Current or projected research activities and motives for wishing to attend
the Euroconferences:
Do you or your research group hold a grant from which Euroconference
participation could be funded? Yes No
Have you applied for a grant for this purpose from any other body?
Yes No
If yes, what result?
....................................................................
(Optional) You may include a "Comments on benefit of participation" letter
from your Supervisor, Department Head, etc.
_______________________________________________________________________
Estimated costs of travel to Euroconference (using most economical air or
second class train fare. Please note that the EC does not reimburse those
people who travel by car/taxi.)
_________________________________________________________________________
FROM TO Means of Transport Return/Single COST
________ __________ _______________ _____________ _________
________ __________ _______________ _____________ _________
________ __________ _______________ _____________ _________
____________________________________________________________________________
I declare the above truthful and sincere, that I do not expect to be funded
for Euroconference participation from other sources except as above, and that
if awarded a grant by the Euroconference organisers, I will not cover any
expenses from more than one funding source.
Signature.................... Date..........................
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