les houches 2015

Exploring new quantum gases

14 - 25 September 2015

Application form

Deadline for application: June 28th 2015

To register, please fill the form below. Be sure to have a pdf version of your cv, together with a jpg file of your picture. When you click on the send the form button, you still have, in the next step, the possibility to cancel or change your data.

Curriculum vitae and cover letter

Please upload a pdf file (2MB max) with your CV and the reasons for which you apply

Please upload your ID picture (jpeg file, 2MB max)*

*Your picture will be transformed to fit the standard 540x420 format. Please upload a picture with an appropriate resolution and an approximatively good ratio. You will see the definitive picture before to transfer your data.

You

Mr         Mrs         Miss

Family name:

First name:

Date of birth (dd/mm/yyyy):

Place of birth:

Citizenship:

Email:

Last degree:

Date of last degree (mm/yyyy):

Your lab

Institution:

Address:

Your phone:

Fax:

Your PhD

Title of your PhD:

Your PhD supervisor:

Email of your supervisor:

Beginning of your PhD (mm/yyyy):

(Planned) PhD defence (mm/yyyy):

Registration fees

If you are a PhD student, the fees are 650 €. If you have already defended your PhD, or if it is planned before September 2016, your fees will be 880 €.


Grant, if possible:       I don't need         it would be nice         I need it

Send the form

Click on the button below to send the form. On the next page, you still have the possibility to correct your data if needed.