nd may, 201 application formeceherlfilesvr.ece.ucy.ac.cy/images/traning_schools/2nd training...
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![Page 1: nd May, 201 APPLICATION FORMeceherlfilesvr.ece.ucy.ac.cy/images/Traning_Schools/2nd Training Sc… · 7-9 May, 2016, Alghero, Italy APPLICATION FORM Name: ... Please send this application](https://reader033.vdocument.in/reader033/viewer/2022051907/5ff9fc3f4910e2214c72b884/html5/thumbnails/1.jpg)
COST is supported by the EU Framework Programme Horizon 2020
2nd MemoCIS Training School, 7-9 May, 2016, Alghero, Italy
APPLICATION FORM
Name:
Gender: Male Female
Nationality: Date and place of birth:
Institution name:
Institution address:
Employment status (student/professor/post doctoral fellow/engineer):
E-mail:
I would like to apply for financial support: Yes No
I would like to present a poster: Yes No (students are required to present a poster)
Tentative title:
ACCOMMODATION
Which nights will you require accommodation?: 7 10
FINANCIAL SUPPORT
If you are applying for financial support:
1. Status:
Ph.D. student
Obtained Ph.D. after October 2001
Non of the above
2. Research Area:
3. Name and affiliation of academic supervisor:
Please send this application form and your curriculum vitae/resume (max. 3 page) to:
May
8 (Choose a max of 4 nights if you will attend all 3 days)
6
Surname:
9